Individual
DONALD R GIDNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-CP, LCSW, LCAS
Contact information
Practice address
1919 GADSDEN ST, COLUMBIA, SC 29201-2346
(803) 779-5356
(803) 779-2135
Mailing address
222 BENNINGTON CIR, COLUMBIA, SC 29229-9615
(803) 779-5356
(803) 779-2135
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1916
NC
1041C0700X
Clinical Social Worker
Primary
10722
SC
1041C0700X
Clinical Social Worker
C008711
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1234
—
SC
Enumeration date
07/03/2011
Last updated
02/05/2017
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