Sylvia S Roan, L.C.S.W., LISW-CP,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9585 Issued in SC

Practice address

2012 Highway 160 W
Suite 2
Fort Mill, SC 29708-8401

Phone

(704) 236-9390

Fax

(803) 693-0701

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Siu-Feng Sylvia Chu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charlotte Family Counseling Center, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1669749644
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1992881312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 SECRET PATH DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086545",
            "telephone_number": "704-236-9390",
            "fax_number": "803-693-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HIGHWAY 160 W",
            "address_2": "SUITE 2",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088401",
            "telephone_number": "704-236-9390",
            "fax_number": "803-693-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROAN",
        "first_name": "SYLVIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W., LISW-CP,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5237",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9585",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIU-FENG",
            "last_name": "CHU",
            "middle_name": "SYLVIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael D Riordan, DMD
• Corey Riser, D.C.
• Hermann Ritchie, DC
• Jenifer Ritchie, RBT
• RK Smith LLC
• Cosette Robbins, MSW, LCSWA
• Jamaeca Tenee Roberts
• Michael Patrick Roberts, PA-C
• Kendellelizabeth M Robertson
• Rock Hill Eye Clinic

• Clinical Social Worker in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.