Healthcare Provider Details

I. General information

NPI: 1902117260
Provider Name (Legal Business Name): ELIZABETH GAIL VARLEY ACSW, LCSW, C-SWHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 01/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINCKNEY BLVD # 6038B
BEAUFORT SC
29902-6122
US

IV. Provider business mailing address

1 PINCKNEY BLVD # 6038B
BEAUFORT SC
29902-6122
US

V. Phone/Fax

Practice location:
  • Phone: 843-770-0444
  • Fax: 843-770-0808
Mailing address:
  • Phone: 843-770-0444
  • Fax: 843-770-0808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW4018
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: