Organization
UPRISING SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE VENTOUR LCSW (EXECUTIVE DIRECTOR)
(917) 379-4989
Entity
Organization
Contact information
Practice address
114 WILLIAMS ST STE 109, LANCASTER, SC 29720-2404
(803) 639-7700
(803) 753-0088
Mailing address
114 WILLIAMS ST STE 109, LANCASTER, SC 29720-2404
(803) 639-7700
(803) 753-0088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up