Organization
WEINBAUM CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WEINBAUM ACSW (PRESIDENT)
(843) 629-0034
Entity
Organization
Contact information
Practice address
604 S COIT ST, FLORENCE, SC 29501-5223
(843) 629-0034
(843) 629-9192
Mailing address
604 S COIT ST, FLORENCE, SC 29501-5223
(843) 629-0034
(843) 629-9192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6951
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044251
CIGNA
SC
05
—
QM0731
—
SC
Enumeration date
11/21/2006
Last updated
08/22/2020
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