Healthcare Provider Details

I. General information

NPI: 1871945568
Provider Name (Legal Business Name): DANIELLE DUBOSE SINKLER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2016
Last Update Date: 07/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 N SALEM AVE
SUMTER SC
29150-4115
US

IV. Provider business mailing address

8850 DORCHESTER RD APT 331
NORTH CHARLESTON SC
29420-7349
US

V. Phone/Fax

Practice location:
  • Phone: 803-938-9901
  • Fax:
Mailing address:
  • Phone: 803-464-4647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10933
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: