Supportive Care of South Carolina LLC
NPI 1417681412ActiveOrganization· Psychologist, Clinical· Mt Pleasant, SC
Psychologist, Clinical in Mt Pleasant, South Carolina, registered in NPPES in July 2022. The authorized official on file is Raphael Lichtschein, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417681412 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2022 |
| Last updated in NPPES | Jul 14, 2022 |
| Certified by provider | Jul 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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