Provider Demographics
NPI:1568498350
Name:COMMUNITIES IN SCHOOLS OF THE CHARLESTON AREA, INC.
Entity Type:Organization
Organization Name:COMMUNITIES IN SCHOOLS OF THE CHARLESTON AREA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-720-2346
Mailing Address - Street 1:701 E BAY ST
Mailing Address - Street 2:ROOM 520
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-5033
Mailing Address - Country:US
Mailing Address - Phone:843-720-2346
Mailing Address - Fax:843-720-2338
Practice Address - Street 1:701 EAST BAY STREET
Practice Address - Street 2:MSC 1201
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403
Practice Address - Country:US
Practice Address - Phone:843-720-2346
Practice Address - Fax:843-720-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2268104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCMC0043Medicaid