MEDICARE: JULIE SONGER LISW-CP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	17533	SC

General Provider Information

NPI Number	:	1790598399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SONGER LISW-CP

Provider Business Mailing Address
First Line	:	111 N SILVER BEECH LN
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29651-5520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 VILLA RD STE 508
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3040
Country	:	US
Telephone Number	:	846-973-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	03/17/2026

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