Provider Demographics
NPI:1124456546
Name:PALMETTO SOCIAL WORK SERVICES LLC
Entity type:Organization
Organization Name:PALMETTO SOCIAL WORK SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:THANDI
Authorized Official - Middle Name:BONSIWE
Authorized Official - Last Name:BLANDING
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:803-316-8491
Mailing Address - Street 1:4804 COTTON ACRES RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29153-8255
Mailing Address - Country:US
Mailing Address - Phone:803-316-8491
Mailing Address - Fax:
Practice Address - Street 1:4804 COTTON ACRES RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29153-8255
Practice Address - Country:US
Practice Address - Phone:803-316-8491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9771251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management