Organization · Type 2 NPI
Commodore Educational Consulting and Counseling Institute, LLC
Clinical Social Worker · Coward, SC
Practice location
4029 Mcgee Rd
Coward, SC 29530-5232
Mailing address
PO Box 62
Lake City, SC 29560-0062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
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…
Another provider at this address
About NPI 1801777933
Commodore Educational Consulting and Counseling Institute, LLC's National Provider Identifier is 1801777933, issued on Sep 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coward, SC. The record was last updated on Sep 8, 2025.