Individual provider Active NPI

Richard M Schlauch Jr., MSW, LCSW, LISW-CP

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1104983980
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7244 Issued in SC
Practice address
454 Anderson Rd S
BTC Suite #115
Rock Hill, SC 29730-3392
Phone
(803) 329-9639
Fax
(803) 329-5830
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C005197 NC
Clinical Social Worker 1041C0700X 7244 SC Primary

Addresses

Primary practice location

454 Anderson Rd S
BTC Suite #115
Rock Hill, SC 29730-3392

Mailing address

1721 Ebenezer Rd
Ste 225
Rock Hill, SC 29732-1119
Phone (803) 329-9639

Other identifiers 2

IdentifierTypeStateIssuer
6106250MedicaidNC
1104983980MedicaidSC

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
I20090605000427 SC Practitioner - Clinical Social Worker 5597852236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palmetto Counseling and Consulting Services LLCGroup PAC ID 2365592797, 15 clinicians

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 225
Rock Hill, SC 29732-1119
Phone (803) 329-9639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Counseling & Consulting Services, LLC Mental Health CurrentSince Apr 29, 2009 Accepting new patients
Carolina Center for Counseling & Clinical Services, Inc. Mental Health Past Accepting new patients
Palmetto Counseling & Consulting Services, LLC Mental Health Past Accepting new patients

Locations

454 Anderson Rd S
Ste 518
Rock Hill, SC 29730
Phone (803) 329-9639

1721 Ebenezer Rd
Ste 225
Rock Hill, SC 29732
Phone (803) 329-1520

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1104983980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "STE 225",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321119",
            "telephone_number": "803-329-9639",
            "fax_number": "803-329-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ANDERSON RD S",
            "address_2": "BTC SUITE #115",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303392",
            "telephone_number": "803-329-9639",
            "fax_number": "803-329-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAUCH",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW, LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C005197",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "7244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106250",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104983980",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.