Individual provider Active NPI

Justin Plant, LCSW

  • Clinical Social Worker
  • Easley, SC
National Provider Identifier
1740633056
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15130 Issued in SC
Practice address
700 Brushy Creek Rd
Easley, SC 29642-2200
Phone
(864) 306-9661
Fax
(877) 893-3778
NPI assigned
Jul 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23132 NC
Clinical Social Worker 1041C0700X C011696 NC
Clinical Social Worker 1041C0700X 15130 SC Primary

Addresses

Primary practice location

700 Brushy Creek Rd
Easley, SC 29642-2200

Mailing address

PO Box 631341
Cincinnati, OH 45263-1341

Other practice location 1

104 Innovation Dr Ste 2000
Greenville, SC 29607-5253
Phone (864) 603-6300

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
I20230125003412 SC Practitioner - Clinical Social Worker 9931451846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

700 Brushy Creek Rd
Easley, SC 29642-2200
Phone (864) 306-9661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23132NCMDAddiction (Substance Use Disorder) Counselor
C011696NCMDClinical Social Worker
15130SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jan 16, 2023 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jan 16, 2023 Accepting new patients

Locations

700 Brushy Creek Rd
Easley, SC 29642
Phone (513) 752-8000

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

104 Innovation Dr
Ste 2000
Greenville, SC 29607
Phone (864) 603-6300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1740633056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631341",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422200",
            "telephone_number": "864-306-9661",
            "fax_number": "877-893-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Innovation Dr Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296075253",
            "country_code": "US",
            "telephone_number": "864-603-6300",
            "fax_number": "877-379-2919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANT",
        "first_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011696",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.