Individual provider Active NPI

Jessica Ann Stein, LMSW

  • Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1619773884
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15422 Issued in SC
Practice address
1037 Chuck Dawley Blvd Ste 209-D
Mount Pleasant, SC 29464-4146
Phone
(843) 352-8667
NPI assigned
Feb 19, 2025
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X TPIC355 FL
Social Worker 104100000X 15422 SC Primary

Addresses

Primary practice location

1037 Chuck Dawley Blvd Ste 209-D
Mount Pleasant, SC 29464-4146

Mailing address

733 Ginglis Way
Mount Pleasant, SC 29464-7748
Phone (516) 661-2821

Other practice location 1

733 Ginglis Way
Mount Pleasant, SC 29464-7748
Phone (516) 661-2821

Other practice location 2

2225 Ashley Crossing Dr Ste 202
Charleston, SC 29414-5854
Phone (843) 352-8667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TPIC355FLMDSocial Worker
15422SCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1619773884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 GINGLIS WAY",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647748",
            "telephone_number": "516-661-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CHUCK DAWLEY BLVD STE 209-D",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644146",
            "telephone_number": "843-352-8667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 Ginglis Way",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294647748",
            "country_code": "US",
            "telephone_number": "516-661-2821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Ashley Crossing Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145854",
            "country_code": "US",
            "telephone_number": "843-352-8667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "TPIC355",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "15422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.