Healther Providers Data Logo

34D1065440 CLIA NUMBER - SOUTHEASTERN HOSPICE HOUSE

Laboratory Demographics

CLIA Number: 34D1065440

Facility Name: SOUTHEASTERN HOSPICE HOUSE

Facility Address:
1100 PINE RUN DRIVE
LUMBERTON, NC
ZIP 28358
Get Directions

Facility Phone Number: 910 671-4803

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1487854253

Taxonomy: 1041C0700X - 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 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.

CLIA Record

Field Name Field Value
CLIA Number 34D1065440
LAB Type Hospice
Facility Name SOUTHEASTERN HOSPICE HOUSE
Street 1100 PINE RUN DRIVE
City LUMBERTON
State NC
ZIP 28358
Phone 910 671-4803
CertificateType 4
CertificateEffectiveDate 3/1/2023
CertificateExpirationDate 2/28/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024