Laney, Elise Jorgensen

Laney, Elise Jorgensen is an individual health care provider with primary practice located at 455 Lakeshore Pkwy , Rock Hill SC 29730-4205. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Laney, Elise Jorgensen can be contacted via phone (803) 909-6363.

Contact Information

Primary practice address
455 Lakeshore Pkwy Rock Hill SC 29730-4205
Phone: (803) 909-6363
Fax: (803) 909-6364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1268 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10644 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007429 North Carolina

Profile Details

NPI number 1285807651
LBN Legal business name Laney, Elise Jorgensen
Credentials LISW, LCAS, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Sep 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285807651 NPPES
South Carolina MEDICAID SW1191

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