William Malcolm, LISW-CP
Social Worker, Clinical in Summerville, SC. Individual provider (NPI-1).
NPI number1194352856
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1194352856
- Entity type
- Individual (NPI-1)
- Name
- Mr. William Malcolm
- Credential
- LISW-CP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 15214 | SC | Yes |
Practice location
118 Creek Bend DrSummerville, SC 29485-8469
Phone 516-384-6020
Mailing address
118 Creek Bend DrSummerville, SC 29485-8469
Phone 516-384-6020
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