DAVID THOMAS LANE (NPI# 1114950045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114950045 |
| Entity Type | Individual |
| Full Name | DAVID THOMAS LANE |
| Credential | LCSW |
| Practice Address |
1101 Johnson Ave Myrtle Beach SC 29577-1893 |
| Mailing Address |
431 Plantation Oaks Dr Myrtle Beach SC 29579-3663 |
| Practice Telephone | 8434572122 |
| Mailing Telephone | 8434572122 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1955 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779463 | David Hubbell Lane | Driver | 712 Ashbury St, San Francisco, CA 94117-4014 | 2020-01-15 |
| 1447601273 | David Lane | Dentist | 95 Old Dixie Hwy Ste A, Adairsville, GA 30103-2044 | 2016-06-22 |
| 1265788988 | David M. Lane | Veterinarian | 1023 County Road 700 E, Albion, IL 62806-4438 | 2012-07-31 |
| 1821236688 | David Holt Lane | Anesthesiology | 50 Interlachen Ln, Excelsior, MN 55331-9469 | 2009-01-30 |
| 1295927176 | David Lane | Occupational Therapy Assistant | 19 Briarmist Ct, O Fallon, MO 63366-6318 | 2007-08-14 |
| 1225138100 | David R Lane | Chiropractor | 75 E 600 S, Brigham City, UT 84302-3227 | 2006-09-22 |
| 1346343407 | David Forrest Lane | Dentist | 1855 Crane Ridge Drive, Suite D, Jackson, MS 39216 | 2006-09-06 |
| 1114979440 | David L Lane | Family Medicine | Building 160 Dogwood Avenue, Mountain Home, TN 37684 | 2006-05-16 |
| 1053312249 | David Allen Lane | Family Medicine | 1 Jarrett White Road, Headquarters Unit, Tripler Army Medical Center, Honolulu, HI 96859-5000 | 2005-08-10 |
| 1871155739 | David Lane | Dentist | 370 Kings Mall Ct, Kingston, NY 12401-1576 | 2019-07-01 |
| Street Address |
1101 JOHNSON AVE |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969250 | Randall Paul Grove | Physician Assistant | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2005-08-19 |
| 1629617485 | Tarzaris Mack | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-12-27 |
| 1720633621 | Ethel Mae Santai | Physical Therapist | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-08-07 |
| 1912560095 | Stephen Francis Kovacs IIi | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-04-15 |
| 1831676857 | Stacey M Fontaine | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2018-07-23 |
| 1770077588 | Richard Mehlbrech | Physical Therapist | 1101 Johnson Ave, Myrtle Beach, SC 29577 | 2018-06-15 |
| 1013367960 | Willa Fry | Audiologist | 1101 Johnson Ave, Suite 204, Myrtle Beach, SC 29577-1893 | 2016-06-21 |
| 1114382264 | Paul Anama | Physical Therapist | 1101 Johnson Ave, Rm 138, Myrtle Beach, SC 29577-1893 | 2015-12-16 |
| 1518346097 | Jamie Wright | Social Worker | 1101 Johnson Ave, Suite 204, Myrtle Beach, SC 29577-1893 | 2015-05-29 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420464 | Keystone Care, LLC | Social Worker | 285 La Patos Dr, Myrtle Beach, SC 29588-8484 | 2019-01-02 |
| 1053804328 | Serenity and Beyond Counseling Services LLC | Social Worker | 1229 38th Ave N Ste 207, Myrtle Beach, SC 29577-1313 | 2018-06-12 |
| 1891233144 | Alexis Skelley Elliott | Social Worker | 410 77th Ave N, Myrtle Beach, SC 29572-4236 | 2017-02-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1073924114 | John Anthony Roman II | Social Worker | 917 Broadway St Ste 3, Myrtle Beach, SC 29577-3718 | 2014-05-12 |
| 1164866349 | Sarah Roberts | Social Worker | 185 Zinnia Dr, Myrtle Beach, SC 29579-7051 | 2013-04-18 |
| 1235412685 | Bergeron Counseling Services LLC | Social Worker | 1335 44th Ave N Ste 204, Myrtle Beach, SC 29577-5980 | 2011-09-22 |
| 1437455144 | Little River Medical Center, Inc. | Social Worker | 7726 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2011-01-28 |
| 1235452772 | Sheena Blake Gaddis | Social Worker | 1229 38th Ave N # 207, Myrtle Beach, SC 29577 | 2010-03-11 |
| 1346563350 | Debbie Lea Jackson | Social Worker | 1101 Johnson Ave Ste 2, Myrtle Beach, SC 29577-1893 | 2010-03-04 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on DAVID THOMAS LANE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.