Healthcare Provider Details

I. General information

NPI: 1811809353
Provider Name (Legal Business Name): HANNAH DANIEL BENNETT LISW-CP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 PROFESSIONAL DR STE E
MYRTLE BEACH SC
29577-5712
US

IV. Provider business mailing address

1076 SAFE HAVEN DR
MYRTLE BEACH SC
29579-7458
US

V. Phone/Fax

Practice location:
  • Phone: 843-894-0000
  • Fax:
Mailing address:
  • Phone: 803-960-9510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19345
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: