MEDICARE: JILL ARLAND LCSW

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	34008582A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16274	OTHER	SC	LISW-CP
2	CSW010085	OTHER	GA	LCSW
3	256842	OTHER	KY	LCSW
4	34008582A	OTHER	IN	LCSW LICENSE
5	10141	OTHER	TN	LCSW
6	115216	OTHER	TX	LCSW

General Provider Information

NPI Number	:	1881135945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL ARLAND LCSW

Provider Business Mailing Address
First Line	:	2112 JEWELBOX DR
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-9709
Country	:	US
Telephone Number	:	812-900-3716
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 JEWELBOX DR
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-9709
Country	:	US
Telephone Number	:	812-900-3716
Fax Number	:

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

Provider Enumeration Date	:	03/09/2017
Last Update Date	:	03/19/2026

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Directions to “ JILL ARLAND LCSW” Practice Location

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