| Jerome Hall, Lisw-cp | |
|
454 Anderson Rd S Ste 214 Rock Hill SC 29730-3398 | |
| (047) 712-9767 | |
| Not Available |
| Full Name | Jerome Hall, Lisw-cp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 454 Anderson Rd S Ste 214, Rock Hill, South Carolina |
| Authorized Official Name and Position | Jennifer Richter (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5169849031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Hall, Lisw-cp 454 Anderson Rd S Ste 214 Rock Hill SC 29730-3398 Ph: (704) 771-2976 | Jerome Hall, Lisw-cp 454 Anderson Rd S Ste 214 Rock Hill SC 29730-3398 Ph: (047) 712-9767 |
| NPI Number | 1508597063 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 01/07/2026 |
| Certification Date | 01/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508597063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Secondary |
| 251B00000X | Case Management | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |
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