Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taraka Taylor-Moultrie, LISW-CP

Individual provider Clinical Social Worker · NPI 1720656291

Taraka Taylor-Moultrie, LISW-CP is a Clinical Social Worker in Longs, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
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Practice location Address checks out

780 Charter Dr Unit B11
Longs, SC 29568-5833
Phone: (478) 361-2126
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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 14372 (SC)

Record details

NPI number1720656291
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorYes
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

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