Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
N | 101YP1600X | Pastoral Counselor | 12544 | FL |
N | 1041C0700X | Clinical Social Worker | FL | |
Y | 1041C0700X | Clinical Social Worker | 12662 | SC |
N | 1041C0700X | Clinical Social Worker | SW15171 | FL |
N | 1041S0200X | School Social Worker | SW15171 | FL |
NPI | 1235475757 |
---|---|
Provider Name | Mr. Darius D Poitier |
First Address | Columbia, SC 29212-1137 |
Second Address | Columbia, SC 29212-1137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2013 |
Last Update Date | 11/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12662 | SOUTH CAROLINA LLR (01) | SC |
SW15171 | FLORIDA BOARD OF CLINICAL SOCIAL WORK (01) | FL |