Annie Laurie Forrest, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11414 Issued in SC

Practice address

1115 Dunlap Rd
Anderson, SC 29621-2501

Phone

(864) 225-0792

Fax

(864) 226-3968

NPI assigned

Mar 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Annie Laurie McGranahan Former name

Electronic endpoints 1

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

Loyola University of Chicago, Stritch School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upstate Ellie LLCGroup PAC ID 3577938224, 8 clinicians

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 and National Provider Directory roles.

• Upstate Ellie LLC

  • Specialist
  • Greenville, SC
  • NPI 1457073694

  Clinical

  Medicare reassignment Care Compare group NPD
• Stress Management Center, LLC

  • Clinic/Center
  • Anderson, SC
  • NPI 1750558862

  Multi-Specialty

  NPD
• John W Martin Jr MD PA

  • Professional Counselor
  • Anderson, SC
  • NPI 1528274669

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1841531373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 DUNLAP RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212501",
            "telephone_number": "864-225-0792",
            "fax_number": "864-226-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 DUNLAP RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212501",
            "telephone_number": "864-225-0792",
            "fax_number": "864-226-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 W Wellington Ave",
            "address_2": "GDN Apt",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574124",
            "country_code": "US",
            "telephone_number": "312-813-9093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORREST",
        "first_name": "ANNIE",
        "middle_name": "LAURIE",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014714",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "864-226-3968",
            "affiliation": "N",
            "endpointDescription": "Landline Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1115 Dunlap Rd",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296212501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "MCGRANAHAN",
            "middle_name": "LAURIE",
            "credential": "LISW-CP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Ford, LMSW, CACP
• Mycah Ford
• Rachel R Ford, MD
• Samantha Ford, PHARMD
• Forged From Ash Counseling LLC
• Van Forrester, O.D.
• Jeannie-Louise Katrina Foster Davis, MS
• Foster Orthodontics
• Foster Orthodontics, PA
• James Granbury Foster III, MD

• Clinical Social Worker in Anderson, SC
• Providers in Anderson, 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 Apr 6, 2020; 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.