Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Play Therapy with Carmen

Organization Clinical Social Worker · NPI 1679009559

Play Therapy with Carmen provides Clinical Social Worker services in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

300 Berkshire Dr Ste F
Columbia, SC 29223-1859
Phone: (980) 275-2505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10478 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C008505 (SC)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1679009559
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOutspoken Counseling and Consulting LLC
Authorized official Carmen Jimenez — Founder · (980) 275-2505
Other names Carmen Jimenez
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017
Mailing addressPo Box 8804, Columbia, SC 29202-8804

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