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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EBANYSANGEL
NPI 1952125809
Social Worker - Clinical in Myrtle Beach, SC

Active since November 07, 2024
172 OLDE TOWNE WAY UNIT 4, MYRTLE BEACH, SC 29588(509) 864-0860 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Nov 7, 2024 (2 updates tracked since 2024).

About Ebanysangel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBANYSANGEL (NPI 1952125809) is a healthcare organization registered as a clinical in Myrtle Beach, South Carolina and active in the NPI registry since November 2024. The organization lists Nichole Lynn Nolan, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1952125809
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEBANYSANGEL
Location Address172 OLDE TOWNE WAY UNIT 4Myrtle Beach, SC 29588-1502
Mailing Address172 Olde Towne Way Unit 4Myrtle Beach, SC 29588-1502 · (509) 864-0860
Phone(509) 864-0860
Organization SubpartNo
Authorized OfficialNichole Lynn NolanClinical Social Worker · (509) 864-0860
Enumeration DateNovember 7, 2024
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1952125809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
172 OLDE TOWNE WAY UNIT 4, Myrtle Beach, SC 29588
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLE L NOLAN LICSW, LISW-CP
Social Worker (Clinical)
172 OLDE TOWNE WAY UNIT 4
MYRTLE BEACH, SC 29588
Horry County (509) 864-0860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebanysangel's NPI number?

The NPI number for Ebanysangel is 1952125809. It was assigned to this organization in the NPPES registry on November 7, 2024.

Where is Ebanysangel located?

Ebanysangel is located at 172 Olde Towne Way Unit 4, Myrtle Beach, SC 29588. The listed phone number is (509) 864-0860.

What is Ebanysangel's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ebanysangel was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.