Individual provider Active NPI

Colleen Marie Cash, LCSW, LMSW

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1366818361
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12319 Issued in SC
Practice address
1720 Candlewood Ridge LN
Matthews, NC 28105-3210
Phone
(513) 604-4565
NPI assigned
Aug 13, 2015
Last updated
May 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C012666 NC
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12319 SC Primary

Addresses

Primary practice location

1720 Candlewood Ridge LN
Matthews, NC 28105-3210

Mailing address

1720 Candlewood Ridge LN
Matthews, NC 28105-3210
Phone (513) 604-4565

Other practice location 1

454 Anderson Rd S Ste 154
Rock Hill, SC 29730-3398
Phone (803) 792-1617

Other identifiers 1

IdentifierTypeStateIssuer
SW1650MedicaidSC

Other names 1

  • Mrs. Colleen Cash Rupp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240909003167 NC Practitioner - Clinical Social Worker 5698215374 Reassigns benefits to 1 organization
I20241022002771 SC Practitioner - Clinical Social Worker 5698215374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C012666NCMDClinical Social Worker
12319SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colleen Cash Counseling LLC Clinical CurrentSince Aug 22, 2024 Accepting new patients
Colleen Cash Thought Solutions Clinical CurrentSince Apr 9, 2023 Accepting new patients

Locations

2091 J a Cochran Byp
Chester, SC 29706
Phone (803) 792-1617

6650 Rivers Ave
Ste 100
North Charleston, SC 29406
Phone (407) 469-5088

6650 Rivers Ave
Ste 100N
North Charleston, SC 29406
Phone (803) 792-1617

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1366818361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CANDLEWOOD RIDGE LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053210",
            "telephone_number": "513-604-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CANDLEWOOD RIDGE LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053210",
            "telephone_number": "513-604-4565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 Anderson Rd S Ste 154",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297303398",
            "country_code": "US",
            "telephone_number": "803-792-1617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASH",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012666",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1650",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "RUPP",
            "middle_name": "CASH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.