NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

South Carolina Department of Juvenile Justice

Emotionally Disturbed Childrens' Residential Treatment Facility in Bennettsville, SC · enumerated 2007 · authorized official Mia Richardson, Medicaid Project Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1851431779

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name South Carolina Department of Juvenile Justice
Other name <Unavail>
Practice address 620 Marlboro Rd, Bennettsville, SC, 29512
Phone (843) 479-0420
Fax (843) 479-0840
Enumeration date Feb 8, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Mia Richardson
Title Medicaid Project Administrator
Phone (803) 896-4751

Other identifiers

Identifier Type State Issuer
DJJ049 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is South Carolina Department of Juvenile Justice located?
The practice location on file with NPPES is in Bennettsville, SC.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.