| Ms Mary E Burcham, LISW-CP | |
| 
					314 W 4th North Ft.street, Summerville, SC 29483  | |
| (843) 501-1099 | |
| Not Available | 
| Full Name | Ms Mary E Burcham | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 314 W 4th North Ft.street, Summerville, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720846967 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8523 (South Carolina) | Primary | 
| Entity Name | Charleston Counseling Center Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Mary E Burcham, LISW-CP 9366 Ayscough Rd, Summerville, SC 29485-8677 Ph: (843) 437-9711  | Ms Mary E Burcham, LISW-CP 314 W 4th North Ft.street, Summerville, SC 29483 Ph: (843) 501-1099  | 
Ms. Kesha Denean Wall Graham, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4904 Pineridge Rd, Summerville, SC 29485 Phone: 843-303-7758  | |
Abdul Karim Kargbo, MSW,LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 323 Eclipse St, Summerville, SC 29486 Phone: 202-714-7902  | |
Ms. Erin Courtney, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 E Richardson Ave, Summerville, SC 29483 Phone: 843-875-1551 Fax: 843-376-0152  | |
Mrs. Joset Michele Rosado, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Central Ave, Summerville, SC 29483 Phone: 843-410-9234  | |
Mrs. Dawn Marie Digennaro, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1101 Old Trolley Rd Ste 400, Summerville, SC 29485 Phone: 843-695-7106 Fax: 833-672-3082  | |
Mr. William Malcolm, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 Creek Bend Dr, Summerville, SC 29485 Phone: 516-384-6020  | |
Tasha Michelle Frederick, LISW-CP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 627 Old Trolley Rd Ste A, Summerville, SC 29485 Phone: 800-552-4357 Fax: 678-388-9244  |