# WEINBAUM CLINICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821163288
- **Authorized official:** LINDA WEINBAUM ACSW (PRESIDENT)
- **Authorized official phone:** (843) 629-0034

## Contact information

- **Practice address:** 604 S COIT ST, FLORENCE, SC 29501-5223
- **Practice address phone:** (843) 629-0034
- **Practice address fax:** (843) 629-9192
- **Mailing address:** 604 S COIT ST, FLORENCE, SC 29501-5223
- **Mailing address phone:** (843) 629-0034
- **Mailing address fax:** (843) 629-9192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6951 | SC | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2044251 | CIGNA | SC |
| 05 | — | QM0731 | — | SC |