NPI 1356558019 · live from the CMS NPI Registry
A Center For Adult Adolescent & Child Counseling PA
Social Worker in Charleston, SC. National Provider Identifier 1356558019, active.
NPI record
| NPI | 1356558019 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 1112 Old Towne Rd, Charleston, SC 29407 |
| Practice phone | 843-763-0363 |
| Enumerated | May 16, 2007 |
| Last updated | December 15, 2016 |
| Authorized official | Billy Barrineau, Director & Psychotherapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 103 (SC) |
| Social Worker primary | 104100000X | 806 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.