TINA KAMINSKI MA, MSW, LISW-CP
NPI 1255860839
Social Worker - Clinical in Summerville, SC

Active since June 07, 2017Opted out of Medicare · through Dec 10, 2026
201 SIGMA DR STE 300, SUMMERVILLE, SC 29486(609) 933-4384 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2020, Jan 10, 2020, Jun 7, 2017 (3 updates tracked since 2017).

About Tina Kaminski Ma, Msw, Lisw-cp NPPES

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

TINA KAMINSKI MA, MSW, LISW-CP (NPI 1255860839) is an individual clinical provider in Summerville, South Carolina, licensed in South Carolina (12902) and active in the NPI registry since June 2017. She has opted out of Medicare through December 10, 2026 and maintains a secondary practice location in Flemington.

NPPES Registry Identity

NPI1255860839
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA KAMINSKICredential: MA, MSW, LISW-CP
Location Address201 SIGMA DR STE 300Summerville, SC 29486-7722
Mailing Address201 Sigma Dr Ste 300Summerville, SC 29486-7722 · (843) 576-1450
Sole ProprietorYes
Enumeration DateJune 7, 2017
Last NPPES UpdateFebruary 10, 20203 updates tracked since enumeration
NPI 1255860839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in SC · 12902 Licensed in NJ · 44SC05362000
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
201 SIGMA DR STE 300, Summerville, SC 29486

Secondary Practice Location 1

Location 1190 Route 31 Ste 200Flemington, NJ 08822-5763 · Phone (908) 788-6401 ext. 2855 · Fax (908) 237-5435

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Tina Kaminski Ma, Msw, Lisw-cp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 10, 2020 through December 10, 2026.

Opt-Out Effective DateDecember 10, 2020
Opt-Out In Effect ThroughDecember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
201 SIGMA DR STE 300
SUMMERVILLE, SC 29486
Clinic/Center (Mental Health (Including Community Mental Health Center))
201 SIGMA DR STE 300
SUMMERVILLE, SC 29486
Nurse Practitioner (Psychiatric/Mental Health)
201 SIGMA DR STE 300
SUMMERVILLE, SC 29486
Counselor (Professional)
201 SIGMA DR STE 300
SUMMERVILLE, SC 29486
Counselor (Mental Health)
201 SIGMA DR STE 300
SUMMERVILLE, SC 29486
Counselor (Professional)
201 SIGMA DR STE 300
SUMMERVILLE, SC 29486
Nurse Practitioner (Psychiatric/Mental Health)
201 SIGMA DR STE 300
SUMMERVILLE, SC 29486
Social Worker (Clinical)
201 SIGMA DR STE 300
SUMMERVILLE, SC 29486

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 Tina Kaminski's NPI number?

The NPI number for Tina Kaminski is 1255860839. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Tina Kaminski located?

Tina Kaminski practices at 201 Sigma Dr Ste 300, Summerville, SC 29486. The listed phone number is (609) 933-4384.

What is Tina Kaminski's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tina Kaminski enrolled in Medicare?

No. Tina Kaminski has opted out of Medicare through December 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tina Kaminski was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.