Provider Demographics
NPI:1427020262
Name:WELCH, NANCY CORY (MSSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CORY
Last Name:WELCH
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 BONHAM CT
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5502
Mailing Address - Country:US
Mailing Address - Phone:864-261-3939
Mailing Address - Fax:864-225-9819
Practice Address - Street 1:612 BONHAM CT
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5502
Practice Address - Country:US
Practice Address - Phone:864-261-3939
Practice Address - Fax:864-225-9819
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC708101YP2500X
SC19331041C0700X
SC70106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist