Individual provider Active NPI

Jessica Rich, LCSW

  • Clinical Social Worker
  • Hayesville, NC
National Provider Identifier
1932697018
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014649 Issued in NC
Practice address
3280 Highway 69 Ste 4E
Hayesville, NC 28904-6957
Phone
(828) 421-8199
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW007839 GA
Clinical Social Worker 1041C0700X P012298 NC
Clinical Social Worker 1041C0700X C014649 NC Primary

Addresses

Primary practice location

3280 Highway 69 Ste 4E
Hayesville, NC 28904-6957

Mailing address

PO Box 434
Hayesville, NC 28904-0434
Phone (828) 421-8199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211203000550 GA Practitioner - Clinical Social Worker 9931454279 Reassigns benefits to 1 organization
I20240130000757 NC Practitioner - Clinical Social Worker 9931454279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2820 Fires Creek Rd
Hayesville, NC 28904-7541
Phone (828) 421-8199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007839GAMDClinical Social Worker
C014649NCMDClinical Social Worker
P012298NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Hospital Authority CurrentSince Nov 23, 2021 Accepting new patients
Union County Hospital Authority CurrentSince Nov 23, 2021 Accepting new patients
Union County Hospital Authority Current Accepting new patients
Meadow Waves Clinical CurrentSince Nov 28, 2023 Accepting new patients
Union County Hospital Authority Current Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients

Locations

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

3280 Highway 69
Ste 4E
Hayesville, NC 28904
Phone (282) 830-5698

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1932697018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289040434",
            "telephone_number": "828-421-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HIGHWAY 69 STE 4E",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289046957",
            "telephone_number": "828-421-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007839",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012298",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayesville, NC

Sources for this page

Verify at the official NPI Registry.