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Kellie Mcdougall Lewis, LISW-CP,CAC-AD
Clinical Social Worker in Myrtle Beach, South Carolina
NPI 1265421937

Kellie Mcdougall Lewis is a Clinical Social Worker based in Myrtle Beach, SC and is specialized in Clinical. Kellie Mcdougall Lewis practices in Myrtle Beach, SC and has the professional credentials of LISW-CP,CAC-AD. The NPI Number for Kellie Mcdougall Lewis is 1265421937 and holds a License No. AC0396 (South Carolina).

The current practice location address for Kellie Mcdougall Lewis is 9403 Highway 707 Ste B, Myrtle Beach, SC and can be reached out via phone at 843-273-0077 and via fax at 843-273-0075. You can also correspond with Kellie Mcdougall Lewis through the mailing address at PO BOX 31447, MYRTLE BEACH, SC - 29588-0025 (mailing address contact number: 843-273-0077).

Location: 9403 Highway 707 Ste B, Myrtle Beach, SC, 29588-0025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265421937
Provider Name
Kellie Mcdougall Lewis
Credential
LISW-CP,CAC-AD
Provider Entity Type
Individual
Gender
Female
Address
9403 Highway 707 Ste B, Myrtle Beach, SC, 29588-0025
Phone Number
843-273-0077
Fax Number
843-273-0075
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C916 01 SC GROUP REAL COUNSELING LLC
SC1938C916 01 SC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
9403 Highway 707 Ste B
City
Myrtle Beach
State
South Carolina
Zip
29588-7758
Phone Number
843-273-0077
Fax Number
843-273-0075
person
Provider Business Mailing Address Details
Address
Po Box 31447
City
Myrtle Beach
State
South Carolina
Zip
29588-0025
Phone Number
843-273-0077
Fax Number
843-273-0075
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
10157 (South Carolina)
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.
AC0396 (Maryland)
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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