Healthcare Provider Details

I. General information

NPI: 1679438824
Provider Name (Legal Business Name): MICHAELA MARY TREW LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 HARBOR HEIGHTS DR APT 14C
LEXINGTON SC
29072-9651
US

IV. Provider business mailing address

301 HARBOR HEIGHTS DR APT 14C
LEXINGTON SC
29072-9651
US

V. Phone/Fax

Practice location:
  • Phone: 843-283-0640
  • Fax:
Mailing address:
  • Phone: 843-283-0640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number13141
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: