Provider Demographics
NPI:1073666525
Name:NASON, HARRIET ANNE (LISW-CP)
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:ANNE
Last Name:NASON
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CARRIAGE LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6065
Mailing Address - Country:US
Mailing Address - Phone:843-763-2222
Mailing Address - Fax:843-766-5705
Practice Address - Street 1:4 CARRIAGE LN
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6065
Practice Address - Country:US
Practice Address - Phone:843-763-2222
Practice Address - Fax:843-766-5705
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQM0367Medicaid
SCQM0367Medicaid