Individual provider Active NPI

Julie Marie Hryniewicz, LISW-CP

  • Clinical Social Worker
  • Simpsonville, SC
National Provider Identifier
1609501808
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15204 Issued in SC
Practice address
879 NE Main St Ste B
Simpsonville, SC 29681-2056
Phone
(864) 252-9069
Fax
(701) 877-1293
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 15204 SC Primary

Addresses

Primary practice location

879 NE Main St Ste B
Simpsonville, SC 29681-2056

Mailing address

879 NE Main St Ste B
Simpsonville, SC 29681-2056
Phone (864) 252-9069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 30, 2026 through Apr 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15204SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pax Therapy Solutions, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

879 NE Main St
Ste B
Simpsonville, SC 29681
Phone (864) 252-9069

Organizations & group practices 1

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609501808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 NE MAIN ST STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812056",
            "telephone_number": "864-252-9069",
            "fax_number": "701-877-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 NE MAIN ST STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812056",
            "telephone_number": "864-252-9069",
            "fax_number": "701-877-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRYNIEWICZ",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.