Provider Demographics
NPI:1265030696
Name:MCLAUGHLIN, ANNA GRACE (LMSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:GRACE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 BECKHAM LN APT 408
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3243
Mailing Address - Country:US
Mailing Address - Phone:864-992-2495
Mailing Address - Fax:
Practice Address - Street 1:508 BETHEL ST
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-1154
Practice Address - Country:US
Practice Address - Phone:803-675-8227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13819104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker