Nelson, Mary
Nelson, Mary is an sole proprietor health care provider with primary practice located at 500 N Main St , Summerville SC 29483-6439. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nelson, Mary can be contacted via phone (843) 871-4790.Contact Information
Primary practice address
500 N Main St
Summerville SC 29483-6439
Phone: (843) 871-4790
Fax: (843) 871-8579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5548 | South Carolina |
Profile Details
| NPI number | 1760680540 |
|---|---|
| LBN Legal business name | Nelson, Mary |
| Credentials | LISW-CP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760680540 | NPPES |
| South Carolina | Other | 5548 | LISW-CP LINCENSE |
| South Carolina | MEDICAID | AD16DO | LISW-CP LINCENSE |
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