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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLIE MCDOUGALL LEWIS, L.I.S.W-CP, CAC-AD

Active Sole Proprietor

KELLIE MCDOUGALL LEWIS, L.I.S.W-CP, CAC-AD is a Clinical Social Worker healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1265421937 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MYRTLE BEACH, SC

Registration Details

NPI Number
1265421937
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2005 (20.790801845925 yrs)
Last Updated
Jan 31, 2014
Licenses
AC0396 (MD)
10157 (SC)
14474 (MD)
Sole Proprietor
Yes

Practice Information

Address
9403 HIGHWAY 707 STE B
MYRTLE BEACH, SC, 295887758
Browse SC providers · Browse ZIP 29588
Phone
8432730077
Fax
8432730075
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MYRTLE BEACH, SC

Name Credential NPI
MR. LOUIS D MURDEN LISW 1932100377
VICTORIA CAREY MSW, LISW-CP 1518914878
DAVID THOMAS LANE LISW-CP 1114950045
MS. LISA J SMITH LCSWR, LISW-CP 1730298514
DONNA TOHL -SANTIAGO LCSW R, LISW-CP 1518031921
DEBRA ANNE CARNOSSO LCSW-R AND LISW-CP 1194891127
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.