Individual provider Active NPI

Stephanie Warren, MSW LMSW

  • Social Worker
  • Greenville, SC
National Provider Identifier
1922495480
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6564 Issued in SC
Practice address
850 Wade Hampton Blvd
Ste C
Greenville, SC 29609-4947
Phone
(864) 640-1542
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6564 SC Primary

Addresses

Primary practice location

850 Wade Hampton Blvd
Ste C
Greenville, SC 29609-4947

Mailing address

110 Colony Rd
Travelers Rest, SC 29690-2148
Phone (864) 640-1542

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191219003044 SC Practitioner - Clinical Social Worker 5991139248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

850 Wade Hampton Blvd
Suite C
Greenville, SC 29609-4947
Phone (864) 640-1542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6564SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Warren Psychotherapy Services CurrentSince Mar 1, 2022 Accepting new patients
Itrust Cares LLC Past Accepting new patients

Locations

850 Wade Hampton Blvd
Ste C
Greenville, SC 29609
Phone (828) 440-0166

Organizations & group practices 2

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1922495480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLONY RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296902148",
            "telephone_number": "864-640-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WADE HAMPTON BLVD",
            "address_2": "STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094947",
            "telephone_number": "864-640-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "STEPHANIE",
        "credential": "MSW LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "6564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.