Travis Miner, LISW-CP | |
4303 Live Oak Dr, Little River, SC 29566-9138 | |
(843) 663-8000 | |
(843) 663-8166 |
Full Name | Travis Miner |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 4303 Live Oak Dr, Little River, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760916449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-39232 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | 14936 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Little River Medical Center Inc | 2961309315 | 36 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346638483 PECOS PAC ID: 2961309315 Enrollment ID: O20170510000410 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184783284 PECOS PAC ID: 2961309315 Enrollment ID: O20170523000231 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619100096 PECOS PAC ID: 2961309315 Enrollment ID: O20170523001559 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508120619 PECOS PAC ID: 2961309315 Enrollment ID: O20170524001573 |
Entity Name | Little River Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669535225 PECOS PAC ID: 2961309315 Enrollment ID: O20170601000080 |
Mailing Address | Practice Location Address |
---|---|
Travis Miner, LISW-CP Po Box 547, Little River, SC 29566-0547 Ph: (846) 663-8013 | Travis Miner, LISW-CP 4303 Live Oak Dr, Little River, SC 29566-9138 Ph: (843) 663-8000 |
Ms. Simone L Esquibel, LISW-CP, MSW, JD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 144 Juniata Loop, Little River, SC 25966 Phone: 843-315-5112 | |
Jodi M Peavy, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3588 Crosscreek Dr, Little River, SC 29566 Phone: 843-222-3019 | |
Mrs. Sara Davis Hartlaub, MSW, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 | |
Norma Jean Kincaid, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 | |
Karen Tison Hills, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-249-3424 | |
Mrs. Donna Rae Thompson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 |