Active NPI
Jessica Rich, LCSW
- Clinical Social Worker
- Hayesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014649
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW007839 | GA | MD | Clinical Social Worker |
| C014649 | NC | MD | Clinical Social Worker |
| P012298 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union County Hospital Authority | Current | Accepting new patients | |
| Union County Hospital Authority | Current | Accepting new patients | |
| Union County Hospital Authority | Current | Accepting new patients | |
| Meadow Waves | Clinical | Current | 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.
-
dba Meadow Waves Clinical Services
- Clinical Social Worker
- Hayesville, NC
- NPI 1952006868
-
dba Union General Hospital
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
-
dba Tri-State Rheumatology Associates
- Rheumatology Physician
- Blairsville, GA
- NPI 1427428994
-
dba Union General Family Medicine
- Rural Health Clinic/Center
- Blairsville, GA
- NPI 1578682696
-
dba Union General ENT Solutions
- Otolaryngology Physician
- Blairsville, GA
- NPI 1669923744
-
- Otolaryngology Physician
- Blairsville, GA
- NPI 1184880338
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.