AVA J FIDDLE LISW-CP
NPI 1053829655
Social Worker - Clinical in Charleston, SC

Active since January 17, 2018PECOS EnrolledAccepts Medicare Assignment
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 852-4100 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 3, 2026, Dec 11, 2020, Jan 17, 2018 (3 updates tracked since 2018).

About Ava J Fiddle Lisw-cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVA J FIDDLE LISW-CP (NPI 1053829655) is an individual clinical provider in Charleston, South Carolina, licensed in South Carolina (12255) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053829655
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAVA J FIDDLECredential: LISW-CP
Location Address2100 CHARLIE HALL BLVDCharleston, SC 29414-5832
Mailing Address2100 Charlie Hall BlvdCharleston, SC 29414-5832
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 17, 2018
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1053829655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in SC · 12255
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2100 CHARLIE HALL BLVD, Charleston, SC 29414

Other Identifiers 1

Medicaid1760596480SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ava J Fiddle Lisw-cp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375958978
PECOS Enrollment IDI20210211002851
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
119 services15 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
63 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Psychiatry & Neurology (Psychiatry)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Nurse Practitioner (Psychiatric/Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Psychiatry & Neurology (Psychiatry)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Psychiatry & Neurology (Psychiatry)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Counselor (Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Counselor (Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Social Worker
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053829655, enumerated as an "individual" on January 17, 2018.

The provider is located at 2100 CHARLIE HALL BLVD CHARLESTON, SC 29414 and the phone number is (843) 852-4100.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.