David Thomas Lane, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10663 Issued in SC

Practice address

470 Rose Fountain Dr
Myrtle Beach, SC 29579-4511

Phone

(843) 457-1775

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1114950045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 ROSE FOUNTAIN DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794511",
            "telephone_number": "843-457-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 ROSE FOUNTAIN DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794511",
            "telephone_number": "843-457-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-02-12",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lamp, R.PH.
• Tristan Matthew Lamp, DDS
• Kristen Cox Land
• Chelsea Lane, MD
• Daniel Lane, MD
• Kahealani Lane
• Teresa Lane, LISW AP CP
• Susan Lang, LISW, CP
• Yolanda Lang, CRNP
• Faith Allison Langdale, PHARMD

• Clinical Social Worker in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.