Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Marie Johansen, LISW-CP, LCSW-C, MSW

Individual provider Clinical Social Worker · NPI 1750820973

Melissa Marie Johansen, LISW-CP, LCSW-C, MSW is a Clinical Social Worker in Myrtle Beach, South Carolina. Qualified in 2014, 12 years ago. Practices with Etheria Counseling LLC, a 5-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2017
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4420 Oleander Dr Ste 201
Myrtle Beach, SC 29577-5721
Phone: (800) 552-4357
Fax: (678) 388-9244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1551 21st Ave N Ste 17, Myrtle Beach, SC 29577-7496 — (843) 868-6200
  • 4006 Postal Way Unit A, Myrtle Beach, SC 29579-3527 — (843) 258-3976

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13535 (SC)

Record details

NPI number1750820973
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP , LCSW-C , MSW
Sole proprietorYes
NPI enumeratedFebruary 21, 2017
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Etheria Counseling Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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