Individual provider · Type 1 NPI

Tara Coburn, SOCIAL WORKER

Clinical Social Worker · Dillon, SC

NPI number 1023407368 Active

Practice location

1016 Old Latta Hwy
Dillon, SC 29536-7614

Call (843) 774-4337 Map

Fax (843) 774-4373

Mailing address

PO Box 1090
Hartsville, SC 29551-1090

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10671 (SC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023407368

Tara Coburn, SOCIAL WORKER's National Provider Identifier is 1023407368, issued on Jan 9, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dillon, SC. The record was last updated on Aug 20, 2025.