Individual provider Active NPI

Jessica Simpson Hamlet, LISW-CP

  • Clinical Social Worker
  • Spartanburg, SC
National Provider Identifier
1891240966
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10213 Issued in SC
Practice address
750 S Church St
Spartanburg, SC 29306-5348
Phone
(864) 582-2829
Fax
(864) 582-7178
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 10213 SC Primary

Addresses

Primary practice location

750 S Church St
Spartanburg, SC 29306-5348

Mailing address

PO Box 5158
Spartanburg, SC 29304-5158

Other practice location 1

1341 N Limestone St
Gaffney, SC 29340-4733
Phone (864) 582-2411

Other practice location 2

301 Crescent Ave
Spartanburg, SC 29306-4143
Phone (864) 596-8442

Other practice location 3

460 Langdon St
Spartanburg, SC 29302-1614
Phone (864) 582-2411

Other practice location 4

220 Irby St
Woodruff, SC 29388-1618
Phone (864) 582-2411

Other identifiers 2

IdentifierTypeStateIssuer
Q584597652OtherSCMEDICARE PIN
SW1435MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10213SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Aug 26, 2019 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 2, 2021 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 2, 2021 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 26, 2019 Accepting new patients

Locations

1341 N Limestone St
Gaffney, SC 29340
Phone (864) 489-3300

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

220 Irby St
Woodruff, SC 29388
Phone (864) 476-2731

Organizations & group practices 6

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1891240966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065348",
            "telephone_number": "864-582-2829",
            "fax_number": "864-582-7178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 N Limestone St",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293404733",
            "country_code": "US",
            "telephone_number": "864-582-2411",
            "fax_number": "864-487-8734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293064143",
            "country_code": "US",
            "telephone_number": "864-596-8442",
            "fax_number": "864-596-8445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Langdon St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021614",
            "country_code": "US",
            "telephone_number": "864-582-2411",
            "fax_number": "864-764-1336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Irby St",
            "address_purpose": "LOCATION",
            "city": "Woodruff",
            "state": "SC",
            "postal_code": "293881618",
            "country_code": "US",
            "telephone_number": "864-582-2411",
            "fax_number": "864-670-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLET",
        "first_name": "JESSICA",
        "middle_name": "SIMPSON",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "Q584597652",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1435",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.