Individual
LEANDRIA NICHELLE BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
999 CHERAW ST, BENNETTSVILLE, SC 29512-2420
(843) 479-2341
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15823
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LW1103
—
SC
Enumeration date
10/22/2019
Last updated
04/18/2025
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