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Angela D Old, LISW-CP
Clinical Social Worker in Prosperity, South Carolina
NPI 1245377621

Angela D Old is a Clinical Social Worker based in Prosperity, SC and is specialized in Clinical. Angela D Old practices in Prosperity, SC and has the professional credentials of LISW-CP. The NPI Number for Angela D Old is 1245377621 and holds a License No. 20917 (South Carolina).

The current practice location address for Angela D Old is 2005 Dreher Island Rd, Prosperity, SC and can be reached out via phone at 312-497-0734.

Location: 2005 Dreher Island Rd, Prosperity, SC, 29127-9013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245377621
Provider Name
Angela D Old
Credential
LISW-CP
Provider Entity Type
Individual
Gender
Female
Address
2005 Dreher Island Rd, Prosperity, SC, 29127-9013
Phone Number
312-497-0734
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149008717 01 IL LCSW
11110 01 SC LISW-CP
1636956 01 IL BCBS
CAQH 01 IL 11693514
institution
Provider Business Practice Location Address Details
Address
2005 Dreher Island Rd
City
Prosperity
State
South Carolina
Zip
29127-9013
Phone Number
312-497-0734
Fax Number
person
Provider Business Mailing Address Details
Address
2005 Dreher Island Rd
City
Prosperity
State
South Carolina
Zip
29127-9013
Phone Number
312-497-0734
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
149008717 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
20917 (Illinois)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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