Individual provider Active NPI

Michelle Stichter, LMSW

  • Social Worker
  • Orangeburg, SC
National Provider Identifier
1134517170
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8926 Issued in SC
Practice address
910 Cook Rd
Orangeburg, SC 29118-2124
Phone
(803) 534-2328
Fax
(803) 531-8419
NPI assigned
Dec 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8926 SC Primary

Addresses

Primary practice location

910 Cook Rd
Orangeburg, SC 29118-2124

Mailing address

PO Box 1166
910 Cook Road
Orangeburg, SC 29116-1166
Phone (803) 534-2328

Other identifiers 1

IdentifierTypeStateIssuer
1770572488MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8926SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1134517170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1166",
            "address_2": "910 COOK ROAD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161166",
            "telephone_number": "803-534-2328",
            "fax_number": "803-531-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182124",
            "telephone_number": "803-534-2328",
            "fax_number": "803-531-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICHTER",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "8926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770572488",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.