Individual provider Active NPI

Charlotte Chrisp

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1750031837
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14841 Issued in SC
Practice address
1734 Columbia College Dr
Columbia, SC 29203-6608
Phone
(180) 331-2241
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 14841 SC Primary

Addresses

Primary practice location

1734 Columbia College Dr
Columbia, SC 29203-6608

Mailing address

PO Box 3159
Columbia, SC 29230-3159
Phone (803) 312-2416

Other practice location 1

1140 Briargate Cir
Columbia, SC 29210-6504
Phone (803) 764-3011 ext. 810

Other names 1

  • Ms. Charlotte Chrisp Professional name

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
I20240805000740 SC Practitioner - Clinical Social Worker 5294272563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

2000 Ctr Point Rd
Suite 2350
Columbia, SC 29210-5826
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Counseling Center PC Clinical CurrentSince Nov 26, 2024 Accepting new patients
Cec Therapeutic Services LLC Clinical CurrentSince Aug 6, 2023 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

2000 Center Point Rd
Ste 2350
Columbia, SC 29210
Phone (803) 669-8887

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1750031837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3159",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292303159",
            "telephone_number": "803-312-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 COLUMBIA COLLEGE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036608",
            "telephone_number": "180-331-2241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Briargate Cir",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292106504",
            "country_code": "US",
            "telephone_number": "803-764-3011 x810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISP",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "CHRISP",
            "prefix": "MS.",
            "credential": "LISW-CP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.