Mrs Alicia Muldrow, LISWCP, LCSW, LCAS-A is a medicare enrolled "Social Worker - Clinical" provider in Rock Hill, South Carolina. Her current practice location is
1477 Ebenezer Rd Ste D, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 579-8558.
Mrs Alicia Muldrow is licensed to practice in South Carolina (license number 15097) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740883891.
Healthcare Provider's Profile
| Full Name | Mrs Alicia Muldrow |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1477 Ebenezer Rd Ste D, Rock Hill, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740883891
- Provider Enumeration Date: 11/20/2020
- Last Update Date: 07/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355723198
- Enrollment ID: I20220727000238
Medical Identifiers
Medical identifiers for Mrs Alicia Muldrow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740883891 | NPI | - | NPPES |
| LW1076 | Medicaid | SC | |
| PG2326 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 25548 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C015812 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 15097 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Alicia Muldrow allows following entities to bill medicare on her behalf.
| Entity Name | Mojo Therapeutics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295470904
PECOS PAC ID: 0446632285
Enrollment ID: O20220727000184 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Alicia Muldrow is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Alicia Muldrow, LISWCP, LCSW, LCAS-A
1477 Ebenezer Rd Ste D,
Rock Hill, SC 29732-2338
Ph: (803) 579-8558 | Mrs Alicia Muldrow, LISWCP, LCSW, LCAS-A
1477 Ebenezer Rd Ste D,
Rock Hill, SC 29732-2338
Ph: (803) 579-8558 |
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