Individual provider · Type 1 NPI

Phyllis Lynn Mitchum

Clinical Social Worker · Charleston, SC

NPI number 1386947711 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-8908

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLMSW-9292 (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 1386947711

Phyllis Lynn Mitchum's National Provider Identifier is 1386947711, issued on Dec 7, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, SC. The record was last updated on Jul 18, 2012.