Michele Blanch-Barr, LISW-CP
Individual provider Active NPI Clinical Social Worker · Summerville, SC
NPI 1245319342 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1245319342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1578 LISW-CP (SC)
- Practice address
- 201 Sigma Dr Ste 334
Summerville, SC 29486-7722 - Phone
- (800) 552-4357
- Fax
- (678) 388-9244
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1578 LISW-CP | SC | MD | Clinical Social Worker |
| 1578 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Counseling Center | Current |
Accepting new patients | |
| Covenant Counseling of South Carolina | Past |
Accepting new patients |
Locations
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1578 | SC | |
| Clinical Social Worker | 1041C0700X | 1578 LISW-CP | SC | Yes |
Addresses
Primary practice location
201 Sigma Dr Ste 334
Summerville, SC 29486-7722
Mailing address
1710 Trolley Rd Ste E
Summerville, SC 29485-8281
Phone (800) 552-4357
Other practice location 1
1710 Trolley Rd Ste E
Summerville, SC 29485-8281
Phone (800) 552-4357
Other providers in Summerville, SC
- Catherine M Bixler
- BJ'S Wholesale Club Inc.
- Ashley Jeane Black
- Natasha Black
- Mikki G Blackman
- Gabriel Blanco
- Carlie Blankenship
- Brock Aaron Blecha
- Dennis R Blejski
- Bloom Endo, LLC
All providers in Summerville, SC · Clinical Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.