Active NPI
Jasmine Opal Elrod, LISW-CP
- Clinical Social Worker
- Simpsonville, SC
National Provider Identifier
1831773324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11296
- Practice address
- 812 Lockhurst Dr
Simpsonville, SC 29681-3945 - Phone
- (864) 884-2506
- NPI assigned
- May 10, 2021
- Last updated
- May 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11296 | SC | Primary |
Addresses
Primary practice location
812 Lockhurst Dr
Simpsonville, SC 29681-3945
Mailing address
812 Lockhurst Dr
Simpsonville, SC 29681-3945
Phone (864) 884-2506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11296 | SC | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1831773324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 LOCKHURST DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813945",
"telephone_number": "864-884-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 LOCKHURST DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813945",
"telephone_number": "864-884-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELROD",
"first_name": "JASMINE",
"middle_name": "OPAL",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "11296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.