Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. James Van Jefferson, LISW

Individual provider Social Worker · NPI 1932716172

Mr. James Van Jefferson, LISW is a Clinical Social Worker in Columbia, South Carolina. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2020
Specialties on file
3
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

5110 Fairfield Rd
Columbia, SC 29203-4323
Phone: (803) 893-7019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4605 Monticello Rd Bldg B, Columbia, SC 29203-4156 — (803) 714-0266

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15512 (SC)
Social Worker Taxonomy 104100000X
Social Worker Taxonomy 104100000X · Licence 15512 (SC)

Record details

NPI number1932716172
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia