1. Home
  2. Directory
  3. South Carolina
  4. Orangeburg
  5. Speech Language Pathologist
  6. NPI Profile

S.C. STATE UNIVERSITY
NPI 1033288402
Speech-Language Pathologist in Orangeburg, SC

Active since November 07, 2006CLIA 42D0720944 · Microscopy
300 COLLEGE STREET, NE, 300 COLLEG STREET, NE, ORANGEBURG, SC 29117(803) 536-8073(803) 533-3627 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About S.c. State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S.C. STATE UNIVERSITY (NPI 1033288402) is a healthcare organization registered as a speech-language pathologist in Orangeburg, South Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Gwendolyn D. Wilson, Department Chair, as its authorized official.

NPPES Registry Identity

NPI1033288402
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameS.C. STATE UNIVERSITY
Location Address300 COLLEGE STREET, NE, 300 COLLEG STREET, NEOrangeburg, SC 29117-0001
Mailing Address300 College Street, Ne, P O Box 7427Orangeburg, SC 29117-0001 · (803) 536-8073 · Fax (803) 533-3627
Phone(803) 536-8073
Fax(803) 533-3627
Organization SubpartNo
Authorized OfficialGwendolyn D. WilsonDepartment Chair · (803) 536-7063
Enumeration DateNovember 7, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1033288402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
300 COLLEGE STREET, NE, Orangeburg, SC 29117
Open in Google Maps ↗

Other Identifiers 1

Medicaid349987SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0720944

Sc State University-Brooks Health Center · Orangeburg, SC
Active · expires Aug 31, 2026
CLIA Number42D0720944
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Emily Krodel
Laboratory Phone(803) 536-7053
Laboratory LocationSc State University-Brooks Health Center300 College Street NE PO Box 7178, Orangeburg, SC 29117
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S.C. State University's NPI number?

The NPI number for S.C. State University is 1033288402. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is S.C. State University located?

S.C. State University is located at 300 College Street, NE 300 Colleg Street, NE, Orangeburg, SC 29117. The listed phone number is (803) 536-8073.

What is S.C. State University's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Does S.C. State University hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0720944) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for S.C. State University was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.