Ms Tina Celeste Outlaw, BSW,MSW, LISW-CP is a
Social Worker - Clinical based in Lamar, South Carolina. Ms Tina Celeste Outlaw is licensed to practice in South Carolina (license number 5160) and her current practice location is
2919 Jeffords Rd N, Outlaw's Vision Quest Farm, Inc., Lamar, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 857-0298.
NPI number for Ms Tina Celeste Outlaw is 1407911332 and her current mailing address is 2919 Jeffords Rd, Lamar, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407911332.
Healthcare Provider's Profile
Full Name | Ms Tina Celeste Outlaw |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2919 Jeffords Rd N, Lamar, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407911332
- Provider Enumeration Date: 12/22/2006
- Last Update Date: 01/18/2023
Medical Identifiers
Medical identifiers for Ms Tina Celeste Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407911332 | NPI | - | NPPES |
SW1208 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 5160 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tina Celeste Outlaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Tina Celeste Outlaw, BSW,MSW, LISW-CP 2919 Jeffords Rd, Lamar, SC 29069-9494 Ph: (843) 713-6205 | Ms Tina Celeste Outlaw, BSW,MSW, LISW-CP 2919 Jeffords Rd N, Outlaw's Vision Quest Farm, Inc., Lamar, SC 29069-9494 Ph: (843) 857-0298 |
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