Angela D Old, LISW-CP
Angela D Old, LISW-CP is a Clinical Social Worker in Prosperity, South Carolina. Qualified in 1996, 30 years ago. Practices with Charleston Counseling Center PC, a 181-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and South Carolina.
- Years since qualifying
- 30
- Licensed in
- IL, SC
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
2005 Dreher Island RdProsperity, SC 29127-9013
Phone: (312) 497-0734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 11110 (SC) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 20917 (IL) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 149008717 (IL) |
Record details
| NPI number | 1245377621 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LISW-CP |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | December 7, 2023 |
| Certification date | December 7, 2023 |
| Mailing address | 2005 Dreher Island Rd, Prosperity, SC 29127-9013 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Charleston Counseling Center Pc — 181 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |