| Stephanie Durso, LCSW LISW-CP | |
|
715 Isle Verde Dr, Myrtle Beach, SC 29579-7168 | |
| (631) 599-6177 | |
| Not Available |
| Full Name | Stephanie Durso |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 715 Isle Verde Dr, Myrtle Beach, 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 |
|---|---|---|---|
| 1518310754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089903 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 17746 (South Carolina) | Primary |
| Entity Name | Family Service League Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463 |
| Entity Name | Sunrise Counseling Center,ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407871353 PECOS PAC ID: 8224210232 Enrollment ID: O20110312000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Durso, LCSW LISW-CP 715 Isle Verde Dr, Myrtle Beach, SC 29579-7168 Ph: (631) 599-6177 | Stephanie Durso, LCSW LISW-CP 715 Isle Verde Dr, Myrtle Beach, SC 29579-7168 Ph: (631) 599-6177 |
Marcy Ann Cates, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 Johnson Ave Ste 204, Myrtle Beach, SC 29577 Phone: 843-477-0177 | |
Mr. Phillip Fleckenstein, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6215 Highway 707, Myrtle Beach, SC 29588 Phone: 843-273-0077 Fax: 843-273-0075 | |
Alysia Kelley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3876 Renee Dr Unit B, Myrtle Beach, SC 29579 Phone: 843-504-9972 | |
Alyssa Joy Caggiano, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 Chestnut Rd, Myrtle Beach, SC 29572 Phone: 843-945-1452 | |
Mr. Kenneth Thomas Cappuccio, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2195 Haystack Way, Myrtle Beach, SC 29579 Phone: 908-447-2913 | |
Ms. Tracy L. Freeman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5020 Vinesia Dr, Myrtle Beach, SC 29579 Phone: 860-620-7197 | |
Mr. John Anthony Roman Ii, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 917 Broadway St Ste 3, Myrtle Beach, SC 29577 Phone: 843-582-7887 Fax: 843-800-0061 |