Jerome Hall, LCSW, LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010289 Issued in NC

Practice address

7223 Dove Field Dr
Fort Mill, SC 29707-7846

Phone

(803) 431-7100

Fax

(843) 456-0263

NPI assigned

Mar 23, 2013

Reactivated

Aug 23, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Project Calm

  • Community/Behavioral Health Agency
  • Rock Hill, SC
  • NPI 1245104090
  NPD Authorized official
• Project Calm LLC

  • Community/Behavioral Health Agency
  • Fort Mill, SC
  • NPI 1821546052
  NPD (past) Authorized official
• Project Calm

  • Community/Behavioral Health Agency
  • Rock Hill, SC
  • NPI 1508597063

  Clinical

  NPD
• A Better Day Home Care Services2 Inc

  • Adult Care Home Facility
  • Charlotte, NC
  • NPI 1720835945
  NPD

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

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1780926162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 DOVE FIELD DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077846",
            "telephone_number": "704-771-2976",
            "fax_number": "843-456-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 DOVE FIELD DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077846",
            "telephone_number": "803-431-7100",
            "fax_number": "843-456-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "deactivation_date": "2022-07-26",
        "reactivation_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3081-A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010289",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janel A Guntle, MA, LPC
• H2Home Therapy, Inc
• Mallory Jane Hackbarth, DMD
• Hall Chiropractic Center, LLC
• Alasia Hall, RBT
• Melanie Hall
• Brenda L Halsey, DDS
• Destiny Hambelton, RBT
• Lauren Elizabeth Hamilton, M.S SLP
• Dominique S Hamrick

• All providers in Fort Mill, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.