LISA STAAB (NPI# 1396299442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396299442 |
| Entity Type | Individual |
| Full Name | LISA STAAB |
| Credential | LCSW, LISW-CP |
| Practice Address |
671 Jamestown Dr Unit 102 Murrells Inlet SC 29576-7511 |
| Mailing Address |
Po Box 1492 Murrells Inlet SC 29576-1492 |
| Practice Telephone | 3166804794 |
| Practice Fax Number | 3166804794 |
| Mailing Telephone | 3166804794 |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
09924360 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11774 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285133751 | Lisa Staab | Speech-Language Pathologist | 300 S 48th St, Lincoln, NE 68510-1830 | 2018-02-09 |
| Street Address |
671 JAMESTOWN DR UNIT 102 |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| 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 |
|---|---|---|---|---|
| 1972721124 | William Henry Korthals IIi | Social Worker | 250 Southern Breezes Cir, Murrells Inlet, SC 29576-9390 | 2007-04-23 |
| 1508921131 | Amy Elder | Social Worker | 5639 South Blackmoor Drive, Murrells Inlet, SC 29576-8959 | 2006-12-26 |
| 1124406830 | Joye Counseling Services, LLC | Social Worker | 671 Jamestown Dr, Suite 208b, Murrells Inlet, SC 29576-7507 | 2015-05-13 |
| 1043697642 | Stacy Joye | Social Worker | 671 Jamestown Dr, Suite 208b, Murrells Inlet, SC 29576-7507 | 2015-05-03 |
| 1003245234 | Jeffrey Antioho | Social Worker | 4017 Highway 17, Murrells Inlet, SC 29576-5032 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840287 | Cromer Counseling, Pa | Social Worker | 10415 Broad River Rd Unit J, Irmo, SC 29063-9686 | 2020-10-29 |
| 1467052530 | Christi Foster | Social Worker | 2250 E Main St, Spartanburg, SC 29307-1419 | 2020-10-28 |
| 1487260501 | Kayla E Pengelski | Social Worker | 1030 Riverwalk Pkwy Ste 203, Rock Hill, SC 29730-4265 | 2020-09-23 |
| 1003421108 | Julia G Bagley | Social Worker | 3206 Newcastle Dr, Rock Hill, SC 29732-8810 | 2020-09-15 |
| 1073128211 | Kanisha Harrison | Social Worker | 2680 Gradys Ground Dr N, Mc Connells, SC 29726-6776 | 2020-09-14 |
| 1356956650 | Alive & Well Counseling, LLC | Social Worker | 753 Johnnie Dodds Blvd Ste 100, Mt Pleasant, SC 29464-3054 | 2020-09-14 |
| 1508471475 | Beth Allison Ringel | Social Worker | 2108 Andover Way, Mount Pleasant, SC 29466-6997 | 2020-09-08 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1891305280 | The Wright Wellness and Counseling Services, Inc. | Social Worker | 303 E Lee Rd, Taylors, SC 29687-3243 | 2020-07-31 |
| 1760091664 | Terance Miles Dawkins | Social Worker | 512 Dragonfly Ct, Roebuck, SC 29376-2779 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
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| 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.