Individual provider · Type 1 NPI

Teresa Lane, LISW AP CP

Clinical Social Worker · Myrtle Beach, SC

NPI number 1801959564 Active

Practice location

1107 48th Ave N Ste 310F
Myrtle Beach, SC 29577-5443

Mailing address

2919 Moss Bridge Ln
Myrtle Beach, SC 29579-3593

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1744 (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 1801959564

Teresa Lane, LISW AP CP's National Provider Identifier is 1801959564, issued on Dec 17, 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 Aug 21, 2019.