Individual
ICELYNN BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1154 SUNNYSIDE DR, COLUMBIA, SC 29204-3387
(803) 730-1023
(803) 667-4697
Mailing address
1154 SUNNYSIDE DR, COLUMBIA, SC 29204-3387
(803) 730-1023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10175
SC
1041C0700X
Clinical Social Worker
10175
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10175
CLINICAL LICENSE
SC
05
—
SW1649
—
SC
Enumeration date
04/21/2015
Last updated
04/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us