DAVID MICKELL BA SOCIAL WORKER NPI 1164456844

NPI Information

NPI: 1164456844
Provider Name: DAVID MICKELL, BA SOCIAL WORKER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1375 GILWAY EXTENSION
HOLLY HILL, SC
ZIP 29059
Phone: (803) 496-3410
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David Mickell, BA SOCIAL WORKER is a mental health counselor in Holly Hill, SC. David Mickell, BA SOCIAL WORKER NPI is 1164456844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1375 GILWAY EXTENSION
HOLLY HILL, SC
ZIP 29059
Phone: (803) 496-3410
Fax: (803) 496-9185

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	413093	MEDICAID	SOUTH CAROLINA
2	3345	MEDICARE ID-TYPE UNSPECIFIED

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

NPI Synchronization or Removal

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