Healthcare Provider Details

I. General information

NPI: 1518829043
Provider Name (Legal Business Name): IFE NARAZONIA CROMWELL-MILTON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 BEE ST
CHARLESTON SC
29401-5703
US

IV. Provider business mailing address

8729 LAUREL GROVE LN
NORTH CHARLESTON SC
29420-6818
US

V. Phone/Fax

Practice location:
  • Phone: 404-759-6376
  • Fax:
Mailing address:
  • Phone: 404-759-6376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number11167
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: