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Deactivated NPI 1003847575 Deactivated / Inactive NPI Female Practitioner

Bertha Lee Lawrence

Licensed Practical Nurse • Moncks Corner, SC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bertha Lawrence has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2006
NPI Deactivation Date February 18, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Bertha Lawrence was a registered Licensed Practical Nurse practicing in Moncks Corner, SC. Throughout an active medical career spanning 13 years, Bertha Lawrence provided care at the practice location at 403 STONEY LANDING RD until profile deactivation on 2019-02-18.

Practice Location & Contact Primary Location

Practice Address

403 Stoney Landing Rd

Moncks Corner, SC 294613967

Telephone 8437618282
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Moncks Corner, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Moncks Corner, SC (520 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License SC P9042

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shane Smith , LMSW

Social Worker

NPI 1003465675

Licensed Master Social Worker

John Dorman , LPC

Counselor - Mental Health

NPI 1013009562

Licensed Professional Counselor

Olivia Ward , LPC

Counselor - Professional

NPI 1013395722

Licensed Professional Counselor

Tedrea Wilson

Counselor - Mental Health

NPI 1013871557
Amelia Anderson

Counselor - Mental Health

NPI 1023596285
Takila Frazier

Counselor - Mental Health

NPI 1033706767

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2019

Record deactivated on February 18, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 403 STONEY LANDING RD, MONCKS CORNER, SC 294613967 (Tel: 8437618282)

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Updated Business Mailing Address July 08, 2007

Registered at 403 STONEY LANDING RD, MONCKS CORNER, SC 294613967 (Tel: 8437618282)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BERTHA LAWRENCE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #P9042 in SC)

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Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003847575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: July 08, 2007
Deactivation Date: February 18, 2019

Mailing Address

403 Stoney Landing Rd

Moncks Corner, SC 294613967

Phone: 8437618282

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.