Provider Demographics
NPI:1780091611
Name:MOHLER, MARIEL SEVESES (MSW, LCSW, LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:MARIEL
Middle Name:SEVESES
Last Name:MOHLER
Suffix:
Gender:F
Credentials:MSW, LCSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 SAIPAN ST
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-7585
Mailing Address - Country:US
Mailing Address - Phone:808-741-4058
Mailing Address - Fax:
Practice Address - Street 1:240 SAIPAN ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-7585
Practice Address - Country:US
Practice Address - Phone:808-741-4058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC133201041C0700X
LA11951104100000X
VA09040105221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker