NPI 1609032630 · live from the CMS NPI Registry
Patsy Gardner Alexander, MSW LISW-CP
Social Worker, Clinical in Myrtle Beach, SC. National Provider Identifier 1609032630, active.
NPI record
| NPI | 1609032630 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1203 48th Ave N, Unit 202, Myrtle Beach, SC 29577 |
| Practice phone | 843-449-3086 |
| Enumerated | July 30, 2008 |
| Last updated | March 31, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 5455 (SC) |
| Social Worker | 104100000X | 5455 (SC) |
| Social Worker, Clinical primary | 1041C0700X | 5455 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.