Provider Demographics
NPI:1700935335
Name:FLESCH, TITSA M (MSW, LISW-CP)
Entity Type:Individual
Prefix:
First Name:TITSA
Middle Name:M
Last Name:FLESCH
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 1:246 W CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150
Mailing Address - Country:US
Mailing Address - Phone:803-775-2801
Mailing Address - Fax:803-775-3522
Practice Address - Street 1:246 W CALHOUN ST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150
Practice Address - Country:US
Practice Address - Phone:803-775-2801
Practice Address - Fax:803-775-3522
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical