Harrison Mangum Kisner, MSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006453 Issued in SC

Practice address

7C Cleveland CT
Greenville, SC 29607-2414

Phone

(864) 360-4341

Fax

(864) 239-6968

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mangum Behavioral Associates, PA

  • Clinical Social Worker
  • Greenville, SC
  • NPI 1861607574
  NPD (past) Authorized official
• Psychiatric Associates PA

  • Clinical Social Worker
  • Greenville, SC
  • NPI 1194868794
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1063437952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7C CLEVELAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072414",
            "telephone_number": "864-360-4341",
            "fax_number": "864-239-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7C CLEVELAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072414",
            "telephone_number": "864-360-4341",
            "fax_number": "864-239-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISNER",
        "first_name": "HARRISON",
        "middle_name": "MANGUM",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "006453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Kirkland, RDN
• Lisa Sharpe Kirkland
• David Michael Kirn
• Melissa Rae Kirn, PT
• Michael Robert Kiser
• Karen P Kissenberth, PT
• Michael John Kissenberth, M.D.
• Olivia Kissinger
• Kent H Kistler, MD
• Lauren Kitch

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, 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 Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.