Search › South Carolina › 104100000X
Icelynn Baldwin, LISW-CP
NPI 1649667312 · on the registry since 2015
Practice
- Address
- 1154 Sunnyside Dr
Columbia, SC 29204 - Phone
- (803) 730-1023
- Fax
- (803) 667-4697
- Organisation at this address
- Carolina Children'S Home
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 158 Langford Rd, Blythewood, SC
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina