Provider Demographics
NPI:1568788867
Name:STILL, DEBORAH ELAINE (MSW, LISW-CP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ELAINE
Last Name:STILL
Suffix:
Gender:F
Credentials:MSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 GARDNER RD STE 1200
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5702
Mailing Address - Country:US
Mailing Address - Phone:843-870-5214
Mailing Address - Fax:843-769-7288
Practice Address - Street 1:1052 GARDNER RD STE 1200
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5702
Practice Address - Country:US
Practice Address - Phone:843-870-5214
Practice Address - Fax:843-769-7288
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLISW CP 25791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical