MEDICARE: MR. DARIUS D POITIER LCSW, LISW-CP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	12662	SC
2	101YP1600X	Pastoral Counselor	12544	FL
3	101YP1600X	Pastoral Counselor
4	1041C0700X	Clinical Social Worker	SW15171	FL
5	1041C0700X	Clinical Social Worker		FL
6	1041S0200X	School Social Worker	SW15171	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SW15171	OTHER	FL	FLORIDA BOARD OF CLINICAL SOCIAL WORK
2	12662	OTHER	SC	SOUTH CAROLINA LLR

General Provider Information

NPI Number	:	1235475757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DARIUS D POITIER LCSW, LISW-CP

Provider Business Mailing Address
First Line	:	7001 SAINT ANDREWS RD # 242
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-1137
Country	:	US
Telephone Number	:	803-699-8887
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 SAINT ANDREWS RD # 242
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-1137
Country	:	US
Telephone Number	:	803-816-6405
Fax Number	:	954-426-2813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2013
Last Update Date	:	09/08/2022

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