Provider Demographics
NPI:1295605699
Name:MITCHUM, LAUREN T (MSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:T
Last Name:MITCHUM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:TEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 KING ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-4720
Mailing Address - Country:US
Mailing Address - Phone:803-432-6902
Mailing Address - Fax:
Practice Address - Street 1:208 KING ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-4720
Practice Address - Country:US
Practice Address - Phone:803-432-6902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator