MR. JACK WILSON RHYNE (NPI# 1841270212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841270212 |
| Entity Type | Individual |
| Full Name | MR. JACK WILSON RHYNE |
| Credential | LCSW, LISW |
| Practice Address |
500 West Blvd Chesterfield SC 29709-1402 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8436235080 |
| Practice Fax Number | 8436235081 |
| Mailing Telephone | 8438570111 |
| Mailing Fax Number | 8438570206 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004880 | SC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C002180 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 1255Y | 01 |
| SC | 405127 | 05 | |
| SC | SW1107 | 05 |
| Street Address |
500 WEST BLVD |
| City | CHESTERFIELD |
| State | SC |
| Zip Code | 29709-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727787 | Sakeisha Magee | Social Worker | 500 West Blvd, Chesterfield, SC 29709-1402 | 2019-02-25 |
| 1659488393 | Cheryl Watson | Social Worker | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-08-25 |
| 1548374259 | Susan Robins | Family Medicine | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-08-18 |
| 1891700506 | Christina Biester | Family Medicine | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-07-30 |
| 1629015755 | Caresouth Carolina, Inc | Clinic/Center | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
| 1851639207 | Jennifer Fuentes Perez | Psychologist | 207 Commerce Drive, Chesterfield, SC 29709 | 2013-01-18 |
| 1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
| 1083752505 | William Luke Perdue Sr. | Dentist | 220 South Craig St, Chesterfield, SC 29709 | 2007-02-05 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| 1619089729 | Bonnie J Cundiff | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
| 1730291857 | Gregory Lee Demby | Counselor | 207 Commerce Avenue, Tri County Mhc, Chesterfield, SC 29709 | 2006-08-31 |
| 1457369308 | Charles M Clark Dmd Pa | Dentist | 918 Holly St, Chesterfield, SC 29709 | 2006-08-04 |
| 1669023065 | Tonia Michelle Mcdonald | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2019-09-26 |
| 1437705431 | Madyson Elizabeth Scott | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2019-08-15 |
| Find all providers in zip 29709 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010682 | Brittany Brown | Social Worker | 10536 Genlou Rd, Chesterfield, VA 23832-7270 | 2019-12-20 |
| 1649838525 | The Destin Group LLC | Social Worker | 8819 Peeble Beach Court, Chesterfield, VA 23832-2667 | 2019-06-05 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1962915124 | Sonya Karlena Boone | Social Worker | 5920 Regal Crest Ter, Chesterfield, VA 23832-7939 | 2017-11-09 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1740704402 | Ruth Marie Cutler | Social Worker | 10100 Iron Bridge Rd Ste 200, Chesterfield, VA 23832-6507 | 2017-08-02 |
| 1992183453 | Jenny L. Warne | Social Worker | 9846 Lori Rd, Suite 201, Chesterfield, VA 23832-6695 | 2015-05-15 |
| 1588071286 | Timothy Mcintyre | Social Worker | 45 High Valley Dr, Chesterfield, MO 63017-2763 | 2014-07-15 |
| 1891101978 | Laquina Fulton Garvin | Social Worker | 8418 Shepherds Watch Dr, Chesterfield, VA 23832-7871 | 2014-07-09 |
| 1770995334 | Kathryn Corson I | Social Worker | 15531 Hampton Crest Ter, Chesterfield, VA 23832-2917 | 2014-05-29 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 29709 |
Please comment or provide details below to improve the information on MR. JACK WILSON RHYNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.