Individual provider Active NPI

Tammy Lynn James, LCSW, LISW

  • Clinical Social Worker
  • Fort Mill, SC
National Provider Identifier
1558725366
Registry record updated Aug 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011518 Issued in NC
Practice address
1808 Second Baxter Xing Ste 208E
Fort Mill, SC 29708
Phone
(803) 626-6200
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2018

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 SW.12751.CP SC
Clinical Social Worker 1041C0700X C011518 NC Primary

Addresses

Primary practice location

1808 Second Baxter Xing Ste 208E
Fort Mill, SC 29708

Mailing address

123 Hawks Creek Pkwy
Fort Mill, SC 29708-0026
Phone (803) 626-6200

Other practice location 1

10801 Monroe Rd Ste A
Matthews, NC 28105-8336
Phone (704) 237-4240

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
I20190212002738 SC Practitioner - Clinical Social Worker 8123366580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1808 2ND Baxter Xing
Suite 208
Fort Mill, SC 29708-6492
Phone (803) 626-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011518NCMDClinical Social Worker
SW.12751.CPSCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Springs of Life Counseling LLC Clinical CurrentSince Aug 15, 2018 Accepting new patients
Ceh Past Accepting new patients

Locations

1808 Second Baxter Crossing
Ste 208
Fort Mill, SC 29708
Phone (803) 626-6200

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1558725366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HAWKS CREEK PKWY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297080026",
            "telephone_number": "803-626-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SECOND BAXTER XING STE 208E",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-626-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 Monroe Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281058336",
            "country_code": "US",
            "telephone_number": "704-237-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "SW.12751.CP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.