NPIMap

Organization Active NPI

Jta Consultants LLC

  • Clinical Social Worker
  • Irmo, SC
National Provider Identifier
1497913222
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1640 Issued in SC
Legal business name
JTA CONSULTANTS LLC
Practice address
3 W Ashford CT
Irmo, SC 29063-8328
Phone
(803) 781-7506
Fax
(803) 781-7506
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Jennifer Taylor Allen, MSWNPI 1225215973
Title
Lisw-CP-Supervisor
Phone
(803) 727-4224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1640 SC Primary

Addresses

Primary practice location

3 W Ashford CT
Irmo, SC 29063-8328

Mailing address

3 West Ashford CT
Irmo, SC 29063

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1497913222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEST ASHFORD CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "29063",
            "fax_number": "803-781-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W ASHFORD CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638328",
            "telephone_number": "803-781-7506",
            "fax_number": "803-781-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTA CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "LISW-CP-SUPERVISOR",
        "authorized_official_telephone_number": "803-727-4224",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.