Individual provider Active NPI

Lynn Terry Hemphill, LISW-CP

  • Clinical Social Worker
  • Greenwood, SC
National Provider Identifier
1801027909
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8502 Issued in SC
Practice address
112 Bypass 225
Greenwood, SC 29646-1154
Phone
(864) 942-0104
Fax
(864) 942-0106
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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 8502 SC Primary

Addresses

Primary practice location

112 Bypass 225
Greenwood, SC 29646-1154

Mailing address

112 Bypass 225
Greenwood, SC 29646-1154
Phone (864) 942-0104

Other practice location 1

201 Hampton Ave Ste F
Greenwood, SC 29646-2271
Phone (864) 942-0104

Other identifiers 1

IdentifierTypeStateIssuer
SW1006MedicaidSC

Other names 1

  • Lynn Terry Hollingsworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8502SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sudie M Clem LLC Clinical CurrentSince Oct 1, 2017 Accepting new patients

Locations

201 Hampton Ave
Ste F
Greenwood, SC 29646
Phone (864) 344-3484

112 Bypass 225
Greenwood, SC 29646
Phone (864) 344-3484

Organizations & group practices 1

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1801027909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BYPASS 225",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296461154",
            "telephone_number": "864-942-0104",
            "fax_number": "864-942-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BYPASS 225",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296461154",
            "telephone_number": "864-942-0104",
            "fax_number": "864-942-0106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Hampton Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296462271",
            "country_code": "US",
            "telephone_number": "864-942-0104",
            "fax_number": "864-942-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMPHILL",
        "first_name": "LYNN",
        "middle_name": "TERRY",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1006",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "HOLLINGSWORTH",
            "middle_name": "TERRY",
            "credential": "LISW-CP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.