Individual provider Active NPI

Dianne Tolentino Rausher, LISW-CP

  • Clinical Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1922477983
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22205 Issued in MD
Practice address
774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625
Phone
(843) 936-2566
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 22205 MD Primary

Addresses

Primary practice location

774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625

Mailing address

774 S Shelmore Blvd Ste 108
Mount Pleasant, SC 29464-7625
Phone (843) 936-2566

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

LicenseStateTypeSpecialty
22205MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Center for Counseling CurrentSince Sep 5, 2021 Accepting new patients

Locations

774 S Shelmore Blvd
Ste 108
Mt Pleasant, SC 29464
Phone (843) 936-2566

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1922477983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD STE 108",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647625",
            "telephone_number": "843-936-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD STE 108",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647625",
            "telephone_number": "843-936-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSHER",
        "first_name": "DIANNE",
        "middle_name": "TOLENTINO",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.