Sherry Vanfossan, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12010 Issued in SC

Practice address

98 E McBee Ave
Unit 314
Greenville, SC 29601-2775

Phone

(732) 245-8505

NPI assigned

Mar 26, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Counseling Services LLCGroup PAC ID 3173675790, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1679717524

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1306377825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E MCBEE AVE",
            "address_2": "UNIT 314",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012775",
            "telephone_number": "732-245-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E MCBEE AVE",
            "address_2": "UNIT 314",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012775",
            "telephone_number": "732-245-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANFOSSAN",
        "first_name": "SHERRY",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Vandevander
• Marianne Elizabeth Vandiver, PHARMD
• Sheridan Vandiver, RBT
• Gelmi Vanegas, CRNP
• Vanessa Roos PM&R LLC
• Maihli Vang
• Mary Evanne Vang, CRNA
• Harriet McMurria Vanhale, MD
• Philip Corby Vanhale, M.D.
• Layne Winstead Vanlieshout

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.