Individual provider · Type 1 NPI

Melissa Marie Johansen, LISW-CP, LCSW-C, MSW

Clinical Social Worker · Myrtle Beach, SC

NPI number 1750820973 Active

Practice location

4420 Oleander Dr Ste 201
Myrtle Beach, SC 29577-5721

Call (800) 552-4357 Map

Fax (678) 388-9244

Mailing address

4006 Postal Way Unit A
Myrtle Beach, SC 29579-3527

Other practice locations

  • 1551 21st Ave N Ste 17, Myrtle Beach, SC 29577-7496 · (843) 868-6200
  • 4006 Postal Way Unit A, Myrtle Beach, SC 29579-3527 · (843) 258-3976

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13535 (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 1750820973

Melissa Marie Johansen, LISW-CP, LCSW-C, MSW's National Provider Identifier is 1750820973, issued on Feb 21, 2017. 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 Jun 16, 2026.