SAMUEL MITCHELL ELDER LISW-CP
NPI 1891356200
Social Worker in Greenville, SC

Active since June 26, 2019PECOS Enrolled
301 HALTON RD STE J, GREENVILLE, SC 29607(864) 664-2710 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2021, Apr 4, 2021, Jun 25, 2020 (3 updates tracked since 2020).

About Samuel Mitchell Elder Lisw-cp NPPES

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

SAMUEL MITCHELL ELDER LISW-CP (NPI 1891356200) is an individual social worker in Greenville, South Carolina, licensed in South Carolina (13054) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891356200
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameSAMUEL MITCHELL ELDERCredential: LISW-CP
Location Address301 HALTON RD STE JGreenville, SC 29607-3498
Mailing Address117 Commons WayGreenville, SC 29611-3850 · (219) 921-6988
Sole ProprietorNo
Enumeration DateJune 26, 2019
Last NPPES UpdateMarch 24, 20223 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
NPI 1891356200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in SC · 13054
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
301 HALTON RD STE J, Greenville, SC 29607

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Mitchell Elder Lisw-cp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
301 HALTON RD STE J
GREENVILLE, SC 29607
Counselor (Mental Health)
301 HALTON RD STE J
GREENVILLE, SC 29607
Counselor (Mental Health)
301 HALTON RD STE J
GREENVILLE, SC 29607
Clinic/Center (Mental Health (Including Community Mental Health Center))
301 HALTON RD STE J
GREENVILLE, SC 29607
Counselor (Mental Health)
301 HALTON RD STE J
GREENVILLE, SC 29607
Counselor (Professional)
301 HALTON RD STE J
GREENVILLE, SC 29607
Social Worker (Clinical)
301 HALTON RD STE J
GREENVILLE, SC 29607

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 Samuel Elder's NPI number?

The NPI number for Samuel Elder is 1891356200. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Samuel Elder located?

Samuel Elder practices at 301 Halton Rd Ste J, Greenville, SC 29607. The listed phone number is (864) 664-2710.

What is Samuel Elder's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Samuel Elder enrolled in Medicare?

Yes. Samuel Elder is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Elder accept?

Health plans from Providence Health Plan list Samuel Elder 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 Samuel Elder was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.