Jennifer F Radcliffe, LCSW, LISW-CP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11658 Issued in SC

Practice address

115 Stone Village Dr
Fort Mill, SC 29708-6489

Phone

(803) 216-1604

Fax

(855) 588-2532

NPI assigned

Dec 26, 2018

Last updated

May 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Healing Collective, LLC

  • Clinical Social Worker
  • Fort Mill, SC
  • NPI 1902204639
  NPD

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1245702604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9902 HIGHLANDS CROSSING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771778",
            "telephone_number": "845-222-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STONE VILLAGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086489",
            "telephone_number": "803-216-1604",
            "fax_number": "855-588-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ying Qu
• Quarterman Dental Associates (Opulent Orthodontics)
• Queens Rheumatology LLC
• R.E. Offutt, DDS, Ms and B.L. Cockerham DDS, MSP, PLLC (Fort Mill Periodontics & Implant Dentistry)
• Corinne Leigh Race, RPH
• Malgorzata Ewa Radziszewska-Petros, NCAC II, AADC, CADC
• Sofia Ramirez, RBT
• Corey Alexander Raper, OT
• Zachary Luke Ratliff, DC, ATC
• Kyle Ratner

• Social Worker in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.