Jill Mount Longshore, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6417 Issued in SC

Practice address

338 W Columbia Ave
Batesburg Leesville, SC 29006-2028

Phone

(803) 532-4423

Fax

(803) 532-8000

NPI assigned

Dec 11, 2007

Last updated

May 11, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Lexington County School Distric Three

  • Local Education Agency (LEA)
  • Batesburg Leesville, SC
  • NPI 1922181411
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1346423522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 W COLUMBIA AVE",
            "city": "BATESBURG LEESVILLE",
            "state": "SC",
            "postal_code": "290062028",
            "telephone_number": "803-532-4423",
            "fax_number": "803-532-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 W COLUMBIA AVE",
            "city": "BATESBURG LEESVILLE",
            "state": "SC",
            "postal_code": "290062028",
            "telephone_number": "803-532-4423",
            "fax_number": "803-532-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSHORE",
        "first_name": "JILL",
        "middle_name": "MOUNT",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD35NE",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lexington County Health Services District, Inc. (Lexington Med Ctr Batesburg Leesville RHC)
• Lexington County Health Services District, Inc. (Lexington Med Ctr Batesburg Leesville)
• Lexington County School Distric Three
• Lexington Health Inc (LMC Batesburg Leesville Rural Health Clinic)
• Lexington Health Inc (LMC Batesburg Leesville Primary Care)
• Mainstreet and Kidsstreet of South Carolina LLC (MainStreet Family Care)
• Nicole Mallon, LMT
• Amber Anderson Miller, MSN, APRN, NP-C
• Lauren Rudd Nates, MSN, APRN, NP-C
• Mary Abercrombie Oswald, NP

• Clinical Social Worker in Batesburg Leesville, SC
• Providers in Batesburg Leesville, 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 May 11, 2023; 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.