Gail Veronica Blue

Individual provider Active NPI Clinical Social Worker · Florence, SC

NPI 1013052844 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013052844
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
125 E Cheves St
Florence, SC 29506-2526
Phone
(843) 317-4089
Fax
(843) 317-4096
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

125 E Cheves St
Florence, SC 29506-2526

Mailing address

125 E Cheves St
Florence, SC 29506-2526
Phone (843) 317-4089

Other identifiers

IdentifierTypeStateIssuer
376241MedicaidSC

Other providers in Florence, SC

All providers in Florence, SC · Clinical Social Worker in South Carolina

Sources for this page

Verify at the official NPI Registry.