Individual provider Active NPI

John Edward Epps, LISW-CP

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1346486982
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6931 Issued in SC
Practice address
33 Market Point Dr
Attn Jason Flassing
Greenville, SC 29607-5768
Phone
(864) 373-0435
NPI assigned
Jan 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6931 SC Primary

Addresses

Primary practice location

33 Market Point Dr
Attn Jason Flassing
Greenville, SC 29607-5768

Mailing address

109 Pinelands PL
Travelers Rest, SC 29690-9818
Phone (864) 373-0435

Other practice location 1

5 Center St
Travelers Rest, SC 29690-1826
Phone (864) 373-0435

Other practice location 2

102 Commons Blvd Ste C
Piedmont, SC 29673-7766
Phone (864) 220-9115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20201009000826 SC Practitioner - Clinical Social Worker 3678993839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5 Ctr St
Travelers Rest, SC 29690-1826
Phone (864) 908-6372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6931SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John E Epps, LLC Clinical CurrentSince Sep 15, 2024 Accepting new patients
Table Rock Integrated Health and Wellness Practice, LLC. Clinical CurrentSince Oct 1, 2020 Accepting new patients

Locations

33 Market Point Dr
Greenville, SC 29607
Phone (864) 272-3430

5 Center St
Travelers Rst, SC 29690
Phone (864) 908-6372

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1346486982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PINELANDS PL",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909818",
            "telephone_number": "864-373-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MARKET POINT DR",
            "address_2": "ATTN JASON FLASSING",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075768",
            "telephone_number": "864-373-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Center St",
            "address_purpose": "LOCATION",
            "city": "Travelers Rest",
            "state": "SC",
            "postal_code": "296901826",
            "country_code": "US",
            "telephone_number": "864-373-0435",
            "fax_number": "864-898-3703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Commons Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "SC",
            "postal_code": "296737766",
            "country_code": "US",
            "telephone_number": "864-220-9115",
            "fax_number": "864-220-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPPS",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-04",
        "last_updated": "2024-06-16",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.