Individual provider Active NPI

Mary Angela Aldrich, LISW-CP, LCSW

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1053581355
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9002 Issued in SC
Practice address
454 S. Anderson Road
Suite 211
Rock Hill, SC 29730
Phone
(803) 324-9808
Fax
(803) 324-9816
NPI assigned
Mar 3, 2008
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X C005732 NC
Clinical Social Worker 1041C0700X 9002 SC Primary

Addresses

Primary practice location

454 S. Anderson Road
Suite 211
Rock Hill, SC 29730

Mailing address

331 E Main St Ste 200
Rock Hill, SC 29730-5384
Phone (803) 230-3018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101028001429 SC Practitioner - Clinical Social Worker 0042404584 Practice locations: Rock Hill, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

331 E Main St
Suite 200
Rock Hill, SC 29730-5384
Phone (803) 230-3018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9002SCMDProfessional Counselor
C005732NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
Senior Psych Solutions Corp Clinical Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
The Olive Tree Wellness Center Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1053581355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST STE 200",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305384",
            "telephone_number": "803-230-3018",
            "fax_number": "803-324-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 S. ANDERSON ROAD",
            "address_2": "SUITE 211",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-324-9808",
            "fax_number": "803-324-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "MARY",
        "middle_name": "ANGELA",
        "credential": "LISW-CP, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005732",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.