PALMETTO CENTER FOR CHANGE, LLC
NPI 1427432046
Social Worker - Clinical in West Columbia, SC

Active since July 14, 2015
1905 SUNSET BLVD STE C, WEST COLUMBIA, SC 29169(803) 851-0902(803) 851-7192 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 25, 2020, Feb 5, 2019 (2 updates tracked since 2019).

About Palmetto Center For Change, Llc NPPES

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

PALMETTO CENTER FOR CHANGE, LLC (NPI 1427432046) is a healthcare organization registered as a clinical in West Columbia, South Carolina and active in the NPI registry since July 2015. The organization maintains a secondary practice location in West Columbia and lists Carol E. O. Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1427432046
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePALMETTO CENTER FOR CHANGE, LLC
Location Address1905 SUNSET BLVD STE CWest Columbia, SC 29169-5955
Mailing AddressPo Box 483Gilbert, SC 29054-0483 · (803) 851-0902 · Fax (803) 851-7192
Fax(803) 851-7192
Organization SubpartNo
Authorized OfficialCarol E. O. AndersonOwner · (803) 851-0902
Enumeration DateJuly 14, 2015
Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1427432046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SC · 6960
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.
1905 SUNSET BLVD STE C, West Columbia, SC 29169

Secondary Practice Location 1

Location 12318 Sunset Blvd # A2West Columbia, SC 29169-4716 · Phone (803) 851-0902 · Fax (803) 851-7192

Other Identifiers 6

MedicaidSW1077SC
Other612752000SC · Select Health
OtherQ371020281SC · Medicare Ptan
Other616366600SC · Dol
MedicaidGP7051SC
OtherQMP000002409221SC · Molina

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palmetto Center For Change, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Palmetto Center For Change, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1013297928
1905 SUNSET BLVD STE C
West Columbia, SC 29169
(803) 851-0902
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Palmetto Center For Change, LLC's NPI number?

The NPI number for Palmetto Center For Change, LLC is 1427432046. It was assigned to this organization in the NPPES registry on July 14, 2015.

Where is Palmetto Center For Change, LLC located?

Palmetto Center For Change, LLC is located at 1905 Sunset Blvd Ste C, West Columbia, SC 29169. The listed phone number is (803) 851-0902.

What is Palmetto Center For Change, LLC's specialty?

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

Is Palmetto Center For Change, LLC enrolled in Medicare?

Yes. Palmetto Center For Change, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmetto Center For Change, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Palmetto Center For Change, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Palmetto Center For Change, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Palmetto Center For Change, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palmetto Center For Change, LLC was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.