MEDICARE: MRS. ANNA KERR KLIPOWICZ LISW

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	17134	SC

General Provider Information

NPI Number	:	1487135331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNA KERR KLIPOWICZ LISW

Provider Business Mailing Address
First Line	:	PO BOX 16091
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29587-6091
Country	:	US
Telephone Number	:	319-471-3034
Fax Number	:

Provider Business Practice Location Address
First Line	:	1304 PROFESSIONAL DR STE E
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-5712
Country	:	US
Telephone Number	:	843-894-0000
Fax Number	:

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	03/03/2026

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