Individual
MICHAEL GARRETT HELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
3209 COLONIAL DRIVE, UNIVERSITY SPECIALTY CLINICS-DEPT. OF FAMILY & PREVENTI, COLUMBIA, SC 29203
(803) 434-2498
(803) 434-7529
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
005612
SC
1041C0700X
Clinical Social Worker
Primary
5612
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q328222353
MEDICARE PTAN
SC
05
—
SW1021
—
SC
Enumeration date
09/20/2006
Last updated
05/30/2018
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