Richard James Stoltz, LISW-CP SC 14656

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14656 Issued in SC

Practice address

4000 Faber Place Dr Ste 110
North Charleston, SC 29405-8585

Phone

(843) 501-1099

NPI assigned

Apr 17, 2008

Sex

Male

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

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

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.

• Myrtle Beach Counseling Center

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1235784661
  NPD
• Eastern Panhandle Mental Health Center (Group)

  dba EastRidge Health Systems

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1528488012
  NPD (past)
• Gulf Coast Hma Physician Management LLC

  dba Gulf Coast Foot and Ankle

  • Podiatrist
  • Venice, FL
  • NPI 1932470648
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1366616567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR STE 110",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058585",
            "telephone_number": "843-501-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR STE 110",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058585",
            "telephone_number": "843-501-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZ",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "credential": "LISW-CP   SC 14656",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia H Stewart
• David Edward Stickler, MD
• Monique Stinson
• Morgan Stohr
• Elliot Seth Stolerman, M.D.
• John David Stone, IDC
• Don Owen Stovall Jr., M.D.
• Adrian Lee Strand, M.D.
• Emily Strano, DNP, APRN, FNP-C
• Strategic Behavioral Healthcare, LLC

• Clinical Social Worker in North Charleston, SC
• Providers in North Charleston, 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 Aug 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.