Healthcare Provider Details

I. General information

NPI: 1174868533
Provider Name (Legal Business Name): STEPHANIE MURRAY LISW-CP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2012
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10698 OCEAN HWY STE 100
PAWLEYS ISLAND SC
29585-8758
US

IV. Provider business mailing address

10698 OCEAN HWY STE 100
PAWLEYS ISLAND SC
29585-8758
US

V. Phone/Fax

Practice location:
  • Phone: 843-606-0516
  • Fax:
Mailing address:
  • Phone: 240-498-2089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10078
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: