Individual provider Active NPI

Sharon Lajoyce Black, LISW-CP

  • Clinical Social Worker
  • Florence, SC
National Provider Identifier
1720375215
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9770 Issued in SC
Practice address
360 N Irby St
Florence, SC 29501
Phone
(843) 667-9414
Fax
(843) 667-1362
NPI assigned
Jul 5, 2011
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 9770 SC Primary

Addresses

Primary practice location

360 N Irby St
Florence, SC 29501

Mailing address

360 N Irby St
Florence, SC 29501
Phone (843) 667-9414

Other practice location 1

1268 S 4th St
Hartsville, SC 29550-0703
Phone (843) 332-3422

Other identifiers 1

IdentifierTypeStateIssuer
LW1021MedicaidSC

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
I20110729000001 SC Practitioner - Clinical Social Worker 0042488454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopehealth, Inc.Group PAC ID 4082510623, 77 clinicians

Practice addresses (Care Compare)

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9770SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc CurrentSince May 11, 2020 Accepting new patients
Hopehealth, Inc. CurrentSince May 11, 2020 Accepting new patients
Hopehealth Inc Current Accepting new patients

Locations

1920 2nd Loop Rd
Florence, SC 29501
Phone (843) 432-3700

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

86 N Main St
Greeleyville, SC 29056
Phone (843) 426-2180

12 W South St
Manning, SC 29102
Phone (803) 433-4124

1857 Joe S Jeffords Hwy
Orangeburg, SC 29115
Phone (803) 535-2272

210 E Market St
Timmonsville, SC 29161
Phone (843) 346-3730

Interoperability endpoints

  • Direct secure messaging: sharon.black@hop.eclinicaldirectplus.com

Organizations & group practices 3

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1720375215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1268 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Hartsville",
            "state": "SC",
            "postal_code": "295500703",
            "country_code": "US",
            "telephone_number": "843-332-3422",
            "fax_number": "843-332-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SHARON",
        "middle_name": "LAJOYCE",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LW1021",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.