Active NPI
Teliyah Jeter, LMSW
- Social Worker
- Spartanburg, SC
National Provider Identifier
1982302790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17180
- Practice address
- 250 Dewey Ave
Spartanburg, SC 29303-3009 - Phone
- (864) 406-8080
- NPI assigned
- Feb 21, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 17180 | SC | Primary |
Addresses
Primary practice location
250 Dewey Ave
Spartanburg, SC 29303-3009
Mailing address
115 Misty Forest Way
Piedmont, SC 29673-9859
Phone (864) 363-8454
Other practice location 1
4900 Meridian St N Dept Of
Huntsville, AL 35811-1156
Phone (864) 363-8454
Other practice location 2
104 Buchanan Hall
Graduate Social Work
Normal, AL 35762
Phone (864) 363-8454
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17180 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1982302790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MISTY FOREST WAY",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296739859",
"telephone_number": "864-363-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 DEWEY AVE",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033009",
"telephone_number": "864-406-8080"
}
],
"practiceLocations": [
{
"address_1": "4900 Meridian St N Dept Of",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358111156",
"country_code": "US",
"telephone_number": "864-363-8454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Buchanan Hall",
"address_2": "Graduate Social Work",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "AL",
"postal_code": "35762",
"country_code": "US",
"telephone_number": "864-363-8454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JETER",
"first_name": "TELIYAH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "17180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.