| Denise B. Stanley, Lisw-cp, Llc | |
|
112b Bypass 225 Greenwood SC 29646-1154 | |
| (910) 200-6615 | |
| Not Available |
| Full Name | Denise B. Stanley, Lisw-cp, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 112b Bypass 225, Greenwood, South Carolina |
| Authorized Official Name and Position | Denise B Stanley (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8644531570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise B. Stanley, Lisw-cp, Llc 112b Bypass 225 Greenwood SC 29646-1154 Ph: (864) 453-1570 | Denise B. Stanley, Lisw-cp, Llc 112b Bypass 225 Greenwood SC 29646-1154 Ph: (910) 200-6615 |
| NPI Number | 1912515537 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Medicare PECOS PAC ID | 9537588546 |
|---|---|
| Medicare Enrollment ID | O20200924001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912515537 | NPI | - | NPPES |
| 10338 | Other | SC | LICENSED CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Denise Burton Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801981170 PECOS PAC ID: 1456452820 Enrollment ID: I20200924001615 |
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