MEDICARE: POLLY JONES EPSTEIN 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	17577	SC

General Provider Information

NPI Number	:	1417656448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POLLY JONES EPSTEIN LISW-CP

Provider Business Mailing Address
First Line	:	4941 STEEPLECHASE LN
Second Line	:
City	:	HOLLYWOOD
State	:	SC
Zip	:	29449-5857
Country	:	US
Telephone Number	:	843-442-3591
Fax Number	:

Provider Business Practice Location Address
First Line	:	4941 STEEPLECHASE LN
Second Line	:
City	:	HOLLYWOOD
State	:	SC
Zip	:	29449-5857
Country	:	US
Telephone Number	:	843-442-3591
Fax Number	:

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

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	08/18/2025

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