Jennifer Beth Eastin, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6706 Issued in SC

Practice address

25 Woods Lake Rd Ste 706
Greenville, SC 29607-2764

Phone

(864) 625-0674

NPI assigned

Mar 3, 2016

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Indiana University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Therapy Solutions, LLC

  • Clinical Social Worker
  • Greenville, SC
  • NPI 1457122798
  Medicare reassignment NPD Authorized official
• Palmetto Family Works LLC

  • Professional Counselor
  • Florence, SC
  • NPI 1043432180
  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment NPD
• Stress Management Center, LLC

  • Clinic/Center
  • Anderson, SC
  • NPI 1750558862
  Medicare reassignment NPD
• Prisma Health University Medical Group

  dba Parkside OB-GYN

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• John W Martin Jr MD PA

  • Professional Counselor
  • Anderson, SC
  • NPI 1528274669
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1750741708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PENOBSCOT CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814370",
            "telephone_number": "864-354-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 706",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072764",
            "telephone_number": "864-625-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTIN",
        "first_name": "JENNIFER",
        "middle_name": "BETH",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W Kenneth Easley Jr., MD
• Charles Eason, LISW-CP
• Vicki L Eason, CNM
• Madeline East, PT, DPT
• Karen Kinard Eastburn, D.O.
• Maria Florencia Eastlack, M.D.
• Eastside Counseling Service
• Eastside Hematology Oncology
• Eastside Internal Med
• Eastside Manor Inc. Dba Southern Oaks

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.

Verify at the official NPI Registry.