Individual provider Active NPI

Jana-Marie T Risch, LISW-CP

  • Clinical Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1114256807
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10451 Issued in SC
Practice address
913 Bowman Rd Ste 104
Mount Pleasant, SC 29464-3235
Phone
(843) 216-2535
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 14, 2020 through Oct 14, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10451SCMDEmergency Medical Services (Emergency Medicine) Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10451 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

913 Bowman Rd Ste 104
Mount Pleasant, SC 29464-3235

Mailing address

2151 Westrivers Rd
Charleston, SC 29412-2092
Phone (843) 718-5698

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2019.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1114256807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 WESTRIVERS RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122092",
            "telephone_number": "843-718-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BOWMAN RD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643235",
            "telephone_number": "843-216-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISCH",
        "first_name": "JANA-MARIE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.