Active NPI
Tiaera Paulette Pritchett, LMSW
- Social Worker
- Lugoff, SC
National Provider Identifier
1891030722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10196
- Practice address
- 40 Baldwin Ave
Lugoff, SC 29078-9406 - Phone
- (803) 408-3262
- Fax
- (803) 408-8895
- NPI assigned
- Dec 4, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10196 | SC | Primary |
Addresses
Primary practice location
40 Baldwin Ave
Lugoff, SC 29078-9406
Mailing address
645 S Seventh St
MC Bee, SC 29101-7101
Phone (843) 335-8291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10196 | Other | SC | LISW LIC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10196 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1891030722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 S SEVENTH ST",
"city": "MC BEE",
"state": "SC",
"postal_code": "291017101",
"telephone_number": "843-335-8291",
"fax_number": "843-335-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BALDWIN AVE",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789406",
"telephone_number": "803-408-3262",
"fax_number": "803-408-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHETT",
"first_name": "TIAERA",
"middle_name": "PAULETTE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-04",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "10196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISW LIC",
"identifier": "10196",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lugoff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.