Provider Demographics
NPI:1487083135
Name:NAYLOR, CAMMIE MARIE (LMSW)
Entity type:Individual
Prefix:MISS
First Name:CAMMIE
Middle Name:MARIE
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN REST
Mailing Address - State:SC
Mailing Address - Zip Code:29664-0068
Mailing Address - Country:US
Mailing Address - Phone:864-638-6005
Mailing Address - Fax:
Practice Address - Street 1:186 BRIANS LAKE RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN REST
Practice Address - State:SC
Practice Address - Zip Code:29664-9111
Practice Address - Country:US
Practice Address - Phone:864-638-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10371104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker