Individual provider · Type 1 NPI
David Thomas Lane, LISW-CP
Clinical Social Worker · Myrtle Beach, SC
Practice location
470 Rose Fountain Dr
Myrtle Beach, SC 29579-4511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 10663 (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 1114950045
David Thomas Lane, LISW-CP's National Provider Identifier is 1114950045, issued on Jul 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Feb 12, 2026.