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NORTHEAST COLUMBIA PSYCHOTHERAPY PRACTICE INC. NPI 1255390001


NPI Information

NPI: 1255390001
Provider Name: NORTHEAST COLUMBIA PSYCHOTHERAPY PRACTICE INC.

Other Name: NORHEAST COLUMBIA PSYCHOTHERAPY PRACTICE, INC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
9 POACHERS LANE
COLUMBIA, SC
ZIP 29223
Phone: (803) 736-7133
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NORTHEAST COLUMBIA PSYCHOTHERAPY PRACTICE INC. is a clinical social worker in Columbia, SC. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NORTHEAST COLUMBIA PSYCHOTHERAPY PRACTICE INC. NPI is 1255390001. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Norheast Columbia Psychotherapy Practice, Inc.

The provider's business location address is:

9 POACHERS LANE
COLUMBIA, SC
ZIP 29223-014
Phone: (803) 736-7133

The provider's authorized official is Beth Troy Maris .
The authorized official title is Therapist/president and has the following contact phone number (803) 736-7133.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 8/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLISW-CP 134SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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