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NPI Code Detail

MEDICARE: MICHELLE MARIN LMSW

MEDICARE: MICHELLE MARIN LMSW
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
11041C0700XClinical Social Worker44SL07217500GA

General Provider Information

NPI Number : 1427869502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MARIN LMSW
Provider Business Mailing Address
First Line : 4900 OHEAR AVE STE 100
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-5091
Country : US
Telephone Number : 843-925-7505
Fax Number :
Provider Business Practice Location Address
First Line : 4900 OHEAR AVE STE 100
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-5091
Country : US
Telephone Number : 843-925-7505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2025
Last Update Date : 09/11/2025

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Directions to “ MICHELLE MARIN LMSW” Practice Location

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