Deborah Ennis, LICSW, LISW-CP
Social Worker, Clinical in Easley, South Carolina
1366635088- Practice location
- 1097 S Pendleton St Ste D, Easley, SC 29642-1050
- Phone
- 864-404-7644
- Fax
- 864-626-0763
- Last updated
- September 29, 2025
Deborah Ennis is a Social Worker, Clinical based in Easley, SC. Deborah Ennis practices in Easley, SC and has the professional credentials of LICSW, LISW-CP. The NPI Number for Deborah Ennis is 1366635088 and holds a License No. 13532 (SC). The current practice location address for Deborah Ennis is 1097 S Pendleton St Ste D, Easley, SC 29642-1050 and can be reached out via phone at 864-404-7644 and via fax at 864-626-0763.
Provider Profile Details
- NPI Number
- 1366635088
- Provider Name
- Deborah Ennis
- Credential
- LICSW, LISW-CP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1097 S Pendleton St Ste D, Easley, SC 29642-1050
- Phone Number
- 864-404-7644
- Fax Number
- 864-626-0763
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 27, 2007
- Last Update Date
- September 29, 2025
- Certification Date
- September 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1097 S Pendleton St Ste D
Easley, SC 29642-1050 - City
- Easley
- State
- South Carolina
- Zip
- 29642-1050
- Phone Number
- 864-404-7644
- Fax Number
- 864-626-0763
Provider Business Mailing Address Details
- Address
- 1097 S Pendleton St Ste D
Easley, SC 29642-1050 - City
- Easley
- State
- SC
- Zip
- 29642-1050
- Phone Number
- 864-404-7644
- Fax Number
- 864-626-0763
License Information
- License Number (1)
- 13532
- License State (1)
- SC
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 114600
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Easley, SC
View all Social Worker, Clinical providers in Easley →Frequently Asked Questions
What is the NPI number of Deborah Ennis, LICSW, LISW-CP?
The NPI number of Deborah Ennis, LICSW, LISW-CP is 1366635088. It was assigned on August 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Deborah Ennis, LICSW, LISW-CP?
Deborah Ennis, LICSW, LISW-CP is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in SC under license number 13532.
Where does Deborah Ennis, LICSW, LISW-CP practice?
The practice location is 1097 S Pendleton St Ste D, Easley, SC 29642-1050. The office can be reached at 864-404-7644 (phone) or 864-626-0763 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366635088 directly on the NPPES registry website.