Healthcare Provider Details

I. General information

NPI: 1457233165
Provider Name (Legal Business Name): CHRISHAWN T FRIPP LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 HAZZARD CREEK VLG UNIT C
RIDGELAND SC
29936-8266
US

IV. Provider business mailing address

36 CAPERS ISLAND CIR
SAINT HELENA ISLAND SC
29920-5706
US

V. Phone/Fax

Practice location:
  • Phone: 843-645-7700
  • Fax:
Mailing address:
  • Phone: 843-592-2527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number18063
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: