Healthcare Provider Details

I. General information

NPI: 1346707361
Provider Name (Legal Business Name): MICHAEL SINGLETON MSW, LISW-CP/S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 LIBERTY HILL RD
CAMDEN SC
29020-1871
US

IV. Provider business mailing address

6105 YORKSHIRE DR
COLUMBIA SC
29209-1829
US

V. Phone/Fax

Practice location:
  • Phone: 803-432-5323
  • Fax:
Mailing address:
  • Phone: 803-738-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12674
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: