Active NPI
Tasha Lavon Hinson, LISW-CP LCAS-A
- Clinical Social Worker
- Florence, SC
National Provider Identifier
1639443344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9285
- Practice address
- 604 Gregg Ave
Florence, SC 29501-4317 - Phone
- (843) 319-1345
- NPI assigned
- Feb 27, 2012
- Last updated
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-20083 | NC | |
| Clinical Social Worker | 1041C0700X | 9285 | SC | Primary |
Addresses
Primary practice location
604 Gregg Ave
Florence, SC 29501-4317
Mailing address
PO Box 642
Cheraw, SC 29520-0642
Phone (843) 319-1345
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-20083 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 9285 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Clinical | Current | Accepting new patients |
| Lifesource of North Carolina | Clinical | Current | Accepting new patients |
Locations
1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1639443344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642",
"city": "CHERAW",
"state": "SC",
"postal_code": "295200642",
"telephone_number": "843-319-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 GREGG AVE",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295014317",
"telephone_number": "843-319-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINSON",
"first_name": "TASHA",
"middle_name": "LAVON",
"name_prefix": "Ms.",
"credential": "LISW-CP LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-20083",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "9285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.