Individual provider Active NPI

Talaya Levone Richmond, LCSW, LISW-CP

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1164299889
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016492 Issued in NC
Practice address
PO Box 36672
Rock Hill, SC 29732-0510
Phone
(803) 812-5978
NPI assigned
Dec 4, 2023
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16494 SC
Clinical Social Worker 1041C0700X C016492 NC Primary

Addresses

Primary practice location

PO Box 36672
Rock Hill, SC 29732-0510

Mailing address

PO Box 36672
Rock Hill, SC 29732-0510
Phone (803) 493-4781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260619001270 NC Practitioner - Clinical Social Worker 2567934656 Reassigns benefits to 1 organization
I20260625003285 SC Practitioner - Clinical Social Worker 2567934656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acts Retirement-Life Communities IncGroup PAC ID 1951212380, shared by 31 NPIs, 34 clinicians

Practice addresses (Care Compare)

3025 Chesbrough Blvd
Rock Hill, SC 29732-8370
Phone (803) 980-8621

733 Pavilion View Dr
Matthews, NC 28105-9116
Phone (704) 845-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C016492NCMDClinical Social Worker
16494SCMDOphthalmology Physician

Organizations & group practices 2

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1164299889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36672",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320510",
            "telephone_number": "803-493-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 36672",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320510",
            "telephone_number": "803-812-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "TALAYA",
        "middle_name": "LEVONE",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16494",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.