MR. JAMES VAN JEFFERSON LISW
NPI 1932716172
Social Worker - Clinical in Columbia, SC

Q: What is James Jefferson's NPI number?

The NPI number for James Jefferson is 1932716172. It was assigned to this individual provider in the NPPES registry on September 30, 2020. The provider is also known as James Van Jefferson Lisw.

Q: What is James Jefferson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for James Jefferson was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2020PECOS EnrolledAccepts Medicare Assignment

5110 FAIRFIELD RD, COLUMBIA, SC 29203(803) 893-7019 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2023, Mar 17, 2023, Jan 13, 2023 and 1 more (4 updates tracked since 2020).

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About Mr. James Van Jefferson Lisw NPPES

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

MR. JAMES VAN JEFFERSON LISW (NPI 1932716172) is an individual clinical provider in Columbia, South Carolina, licensed in South Carolina (15512) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932716172

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JAMES VAN JEFFERSONCredential: LISW

Location Address5110 FAIRFIELD RDColumbia, SC 29203-4323

Mailing AddressPo Box 740013Atlanta, GA 30374-0013 · (312) 733-9730 · Fax (773) 866-8014

Phone(803) 893-7019

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 30, 2020

Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1932716172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in SC · 15512

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 15512 (SC)

5110 FAIRFIELD RD, Columbia, SC 29203

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Other Names 1

Professional Name (2)James Van Jefferson Lisw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Providence Health Plan.Insurance ›

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

Mr. James Van Jefferson Lisw 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 ID446621783

PECOS Enrollment IDI20251022004791

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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 7

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

MRS. SHAQUAN MARTEE BROWN FNP

Nurse Practitioner (Family)