Active NPI
Andres C Ruiz Alicea, MA, MSW, LCSW
- Clinical Social Worker
- Greenville, SC
National Provider Identifier
1952086936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P014211
- Practice address
- 107 Three Forks PL
Greenville, SC 29609-1587 - Phone
- (440) 320-2251
- NPI assigned
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P014211 | NC | Primary |
Addresses
Primary practice location
107 Three Forks PL
Greenville, SC 29609-1587
Mailing address
107 Three Forks PL
Greenville, SC 29609-1587
Phone (440) 320-2251
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P014211 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy Sense Counseling, PLLC | Clinical | Past | Accepting new patients |
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": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1952086936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 THREE FORKS PL",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296091587",
"telephone_number": "440-320-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 THREE FORKS PL",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296091587",
"telephone_number": "440-320-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ ALICEA",
"first_name": "ANDRES",
"middle_name": "C",
"credential": "MA, MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.