Individual provider Active NPI

Nicole Ventour, LCSW, LISW-CP/S

  • Clinical Social Worker
  • Lancaster, SC
National Provider Identifier
1619230786
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008093 Issued in NC
Practice address
114 Williams St Ste 109
Lancaster, SC 29720-2404
Phone
(803) 639-7700
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107139 CA
Clinical Social Worker 1041C0700X 27771 MD
Clinical Social Worker 1041C0700X C008093 NC Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 9446 SC

Addresses

Primary practice location

114 Williams St Ste 109
Lancaster, SC 29720-2404

Mailing address

502 W Barr St
Lancaster, SC 29720-1950
Phone (917) 379-4989

Other identifiers 1

IdentifierTypeStateIssuer
SW1095MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130122000266 SC Practitioner - Clinical Social Worker 6507019783 Reassigns benefits to 2 organizations
I20230907001193 CA Practitioner - Clinical Social Worker 6507019783 Reassigns benefits to 1 organization
I20230912002047 DC Practitioner - Clinical Social Worker 6507019783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

324 Ardmore Garden Dr
Unit 101
Hardeeville, SC 29927-2757
Phone (561) 221-5696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA Multi-Specialty CurrentSince Feb 16, 2025 Accepting new patients
Uprising Supportive Services Clinical CurrentSince Dec 9, 2012 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 9, 2023 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Aug 3, 2023 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

114 Williams St
Ste 109
Lancaster, SC 29720
Phone (803) 639-7700

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1619230786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W BARR ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201950",
            "telephone_number": "917-379-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WILLIAMS ST STE 109",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202404",
            "telephone_number": "803-639-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTOUR",
        "first_name": "NICOLE",
        "credential": "LCSW, LISW-CP/S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107139",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27771",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008093",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1095",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.