Active NPI
Suzanne Hartness Fentress, LISW-CP
- Clinical Social Worker
- Greer, SC
National Provider Identifier
1740462068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6853
- Practice address
- 955 W Wade Hampton Blvd Ste 4B
Greer, SC 29650 - Phone
- (864) 905-6835
- Fax
- (864) 334-5046
- NPI assigned
- Nov 28, 2007
- Last updated
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6853 | SC | Primary |
Addresses
Primary practice location
955 W Wade Hampton Blvd Ste 4B
Greer, SC 29650
Mailing address
955 W Wade Hampton Blvd Ste 4B
Greer, SC 29650-1296
Phone (864) 905-6835
Other practice location 1
2125 McKenzie Rd
Pawhuska, OK 74056-9418
Phone (864) 905-6835
Other names 1
- Suzanne Hartness Fentress
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050816001086 | SC | Practitioner - Clinical Social Worker | 1355371642 | Practice locations: Greer, SC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
66 Pkwy Commons Way
Greer, SC 29650-5213
Phone (864) 905-6835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6853 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Psychiatric Service PA | Past | Accepting new patients | |
| Anna Gagnon Therapy, LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Greer, SC
- NPI 1407312861
-
- Adult Mental Health Clinic/Center
- Greenville, SC
- NPI 1164481867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1740462068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W WADE HAMPTON BLVD STE 4B",
"city": "GREER",
"state": "SC",
"postal_code": "296501296",
"telephone_number": "864-905-6835",
"fax_number": "864-334-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W WADE HAMPTON BLVD STE 4B",
"city": "GREER",
"state": "SC",
"postal_code": "29650",
"telephone_number": "864-905-6835",
"fax_number": "864-334-5046"
}
],
"practiceLocations": [
{
"address_1": "2125 McKenzie Rd",
"address_purpose": "LOCATION",
"city": "Pawhuska",
"state": "OK",
"postal_code": "740569418",
"country_code": "US",
"telephone_number": "864-905-6835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENTRESS",
"first_name": "SUZANNE",
"middle_name": "HARTNESS",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "6853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "FENTRESS",
"middle_name": "HARTNESS",
"credential": "LISW-CP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.