Lorie Ann Jolly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008641 Issued in SC

Practice address

1213 Remount Rd
North Charleston, SC 29406-3433

Phone

(843) 973-5415

Fax

(833) 994-1101

NPI assigned

Apr 1, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790

  SC

  Medicare reassignment NPD
• Centerwell Senior Primary Care (NC) PC

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1073034625

  NC

  Medicare reassignment NPD
• Centerwell Senior Primary Care NC JV PC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1366181943

  NC

  Medicare reassignment NPD
• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Spartanburg, SC
  • NPI 1154974343
  NPD
• Centerwell Senior Primary Care (NC) JV, P.C.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1477373991
  NPD
• Centerwell Senior Primary Care NC JV PC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1457090037
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1043638554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616788",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328616788",
            "telephone_number": "407-533-6836",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 REMOUNT RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063433",
            "telephone_number": "843-973-5415",
            "fax_number": "833-994-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "LORIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "5288",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "C008641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lorie.jolly@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1213 Remount Rd",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294063433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Conor Hamilton Johnston, PA-C
• Jeb Stuart Johnston
• Rachel Johnston
• Cary Johnstone, LPC
• Joint Replacement Cin of South Carolina LLC
• Jon R Jacobs
• Briana Jones, PHARMD
• Carol Gainey Bledsoe Jones, M.D.
• Caroline Schuler Jones
• Charles Francis Jones, R.PH.

• Clinical Social Worker in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.