Provider Demographics
NPI:1730219478
Name:TEMPE ANNE OEHLER, LCSW, ACSW, PA
Entity type:Organization
Organization Name:TEMPE ANNE OEHLER, LCSW, ACSW, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEMPE ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:OEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACSW
Authorized Official - Phone:843-946-3577
Mailing Address - Street 1:PO BOX 3303
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29578-3303
Mailing Address - Country:US
Mailing Address - Phone:843-946-3577
Mailing Address - Fax:843-946-3507
Practice Address - Street 1:1601 OAK STREET
Practice Address - Street 2:SUITE 107
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577
Practice Address - Country:US
Practice Address - Phone:843-946-3577
Practice Address - Fax:843-946-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0001381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQM0167Medicaid
SC=========OtherTAX ID
SC4282Medicare ID - Type Unspecified