Individual provider Active NPI

Alicia Muldrow, LISWCP, LCSW, LCAS-A

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1740883891
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15097 Issued in SC
Practice address
1477 Ebenezer Rd Ste D
Rock Hill, SC 29732-2338
Phone
(803) 579-8558
Fax
(844) 440-1981
NPI assigned
Nov 20, 2020
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 25548 NC
Clinical Social Worker 1041C0700X C015812 NC
Clinical Social Worker 1041C0700X 15097 SC Primary

Addresses

Primary practice location

1477 Ebenezer Rd Ste D
Rock Hill, SC 29732-2338

Mailing address

1477 Ebenezer Rd Ste D
Rock Hill, SC 29732-2338
Phone (803) 579-8558

Other identifiers 2

IdentifierTypeStateIssuer
LW1076MedicaidSC
PG2326MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mojotherapeutics@yahoo.com Direct

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
I20220727000238 SC Practitioner - Clinical Social Worker 1355723198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Charleston, SC 29401
Phone (323) 205-7088

135 E Main St
Suite 204
Rock Hill, SC 29730-4892
Phone (803) 579-8558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015812NCMDClinical Social Worker
15097SCMDClinical Social Worker
25548NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mojo Therapeutics LLC CurrentSince Jun 1, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

170 Meeting St
Charleston, SC 29401
Phone (800) 985-3059

135 E Main St
Ste 204
Rock Hill, SC 29730
Phone (803) 579-8558

135 E Main St
Ste 213
Rock Hill, SC 29730

1477 Ebenezer Rd
Ste D
Rock Hill, SC 29732
Phone (803) 579-8558

331 E Main St
Ste 200
Rock Hill, SC 29730
Phone (704) 350-5885

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1740883891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 EBENEZER RD STE D",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322338",
            "telephone_number": "803-579-8558",
            "fax_number": "844-440-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 EBENEZER RD STE D",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322338",
            "telephone_number": "803-579-8558",
            "fax_number": "844-440-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDROW",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "LISWCP, LCSW, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "25548",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015812",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LW1076",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG2326",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mojotherapeutics@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1477 Ebenezer Rd Ste D",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297322338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.