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

Christopher McCoy, LISW-CP, CACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184968448

Christopher McCoy, LISW-CP, CACII is a Clinical Social Worker in Irmo, South Carolina. Qualified in 1999, 27 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
27
Licensed in
SC
In the registry since
2012
Specialties on file
2

Practice location Address checks out

10415 Broad River Rd Ste F
Irmo, SC 29063-9686
Phone: (803) 719-0488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9195 (SC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1404045 (SC)

Record details

NPI number1184968448
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-CP , CACII
Sole proprietorYes
NPI enumeratedNovember 26, 2012
Last updated in NPPESFebruary 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Irmo