Individual provider · Type 1 NPI

Michaela Buckhannon, LISW CP

Clinical Social Worker · Charleston, SC

NPI number 1770174500 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-5650

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Other practice locations

  • 268 W Coleman Blvd Ste A, Mount Pleasant, SC 29464-5650 · (843) 936-2566
  • 4 27th Ave Apt A, Isle Of Palms, SC 29451-2402 · (843) 603-1213

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X14019 (SC)
Clinical Social Worker Primary 1041C0700X14019 (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 1770174500

Michaela Buckhannon, LISW CP's National Provider Identifier is 1770174500, issued on Feb 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, SC. The record was last updated on May 13, 2022.