| Mary E. Horton, Lisw-cp, Llc | |
|
1052 Gardner Rd Ste 1200 Charleston SC 29407-5702 | |
| (843) 224-6740 | |
| (843) 572-5868 |
| Full Name | Mary E. Horton, Lisw-cp, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1052 Gardner Rd Ste 1200, Charleston, South Carolina |
| Authorized Official Name and Position | Mary Elizabeth Horton (OWNER) |
| Authorized Official Contact | 8432246740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E. Horton, Lisw-cp, Llc 1052 Gardner Rd Ste 1200 Charleston SC 29407-5702 Ph: (843) 224-6740 | Mary E. Horton, Lisw-cp, Llc 1052 Gardner Rd Ste 1200 Charleston SC 29407-5702 Ph: (843) 224-6740 |
| NPI Number | 1669618922 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Medicare PECOS PAC ID | 7810052248 |
|---|---|
| Medicare Enrollment ID | O20090218000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669618922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary E Horton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194960575 PECOS PAC ID: 5193880524 Enrollment ID: I20090218000188 |
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