Simonton, Caurice S

Simonton, Caurice S is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Simonton, Caurice S can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X 10543 South Carolina

Profile Details

NPI number 1497092571
LBN Legal business name Simonton, Caurice S
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2013
Last updated Mar 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497092571 NPPES
South Carolina MEDICAID 1760596480

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