Provider Demographics
NPI:1477898492
Name:HIERS, VANESSA GALVARINO (MSW, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:GALVARINO
Last Name:HIERS
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 SHIVERS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-5413
Mailing Address - Country:US
Mailing Address - Phone:803-896-7464
Mailing Address - Fax:803-896-7451
Practice Address - Street 1:1721 SHIVERS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-5413
Practice Address - Country:US
Practice Address - Phone:803-896-7464
Practice Address - Fax:803-896-7451
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4672104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker