Organization · Type 2 NPI

Ebanysangel

Clinical Social Worker · Myrtle Beach, SC

NPI number 1952125809 Active

Practice location

172 Olde Towne Way Unit 4
Myrtle Beach, SC 29588-1502

Call (509) 864-0860 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1952125809

Ebanysangel's National Provider Identifier is 1952125809, issued on Nov 7, 2024. 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 25, 2026.