Healthcare Provider Details

I. General information

NPI: 1235475757
Provider Name (Legal Business Name): DARIUS D POITIER LCSW, LISW-CP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2013
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 SAINT ANDREWS RD # 242
COLUMBIA SC
29212-1137
US

IV. Provider business mailing address

7001 SAINT ANDREWS RD # 242
COLUMBIA SC
29212-1137
US

V. Phone/Fax

Practice location:
  • Phone: 803-816-6405
  • Fax: 954-426-2813
Mailing address:
  • Phone: 803-699-8887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12662
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number12544
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW15171
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberSW15171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: