SHANE R SMITH (NPI# 1003465675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003465675 |
| Entity Type | Individual |
| Full Name | SHANE R SMITH |
| Credential | LMSW |
| Practice Address |
403 Stony Landing Rd Moncks Corner SC 29461-3967 |
| Practice Telephone | 8437618282 |
| Practice Fax Number | 8437617308 |
| Mailing Telephone | 8437618282 |
| Mailing Fax Number | 8437617308 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 12469 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 435201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| 1609306158 | Shane Eric Smith | Chiropractor | 1300 E 66th St Ste 100, Richfield, MN 55423-2685 | 2017-06-18 |
| 1396199733 | Shane Todd Smith | Registered Nurse | 725 Rothrock Dr, Galloway, OH 43119-8692 | 2016-04-22 |
| 1679815484 | Shane Timothy Smith | Counselor | 4629 Celia Way, Apt 202, Bellingham, WA 98226-7475 | 2013-03-19 |
| 1972726719 | Shane Smith | Chiropractor | 1380 Long Fellow Ave, Chico, CA 95926 | 2007-04-10 |
| 1821177197 | Shane Smith | Chiropractor | 2301 Berlin Tpke, Newington, CT 06111-3206 | 2006-11-06 |
| 1184705980 | Shane Michael Smith | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2006-10-18 |
| 1255859567 | Shane Mcbride Smith | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-09-07 |
| 1124578836 | Shane Smith | Chiropractor | 12313 Gold St, Omaha, NE 68144-2760 | 2016-10-05 |
| 1982157038 | Shane Michael Smith | Dentist | 1804 Old Greensboro Rd, Jonesboro, AR 72401-1896 | 2016-07-25 |
| Street Address |
403 STONY LANDING RD |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-3967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548230220 | Elizabeth Ann Holloway Jensen | Nurse Practitioner | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2006-01-25 |
| 1891301313 | Jennifer Lane Gillespie | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1982210415 | Kelvin Craig Tyler Jr. | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1376159897 | Stephanie Davis-velez | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1720699614 | Amy Lynn Watson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-08-13 |
| 1417588484 | Sarah L Oxendine | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1679104640 | Kayla B Bennett | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1194356162 | Monique D Stanley | Registered Nurse | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1780221036 | Lydia Stallings | Case Manager/Care Coordinator | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-12-05 |
| 1518501253 | Sarah A Younts | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301313 | Jennifer Lane Gillespie | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1376159897 | Stephanie Davis-velez | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1679104640 | Kayla B Bennett | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1699324269 | Leigh N Wildt | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-09-06 |
| 1295387512 | Loumera Y Wright | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-07-16 |
| 1902252729 | Kristine L Hauke | Social Worker | 403 Stoney Landing Road, Moncks Corner, SC 29461-3967 | 2016-05-11 |
| 1023473691 | Deidre Hayden | Social Worker | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2015-12-23 |
| 1558303487 | Mary K Green | Social Worker | 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967 | 2006-06-12 |
| 1518909449 | Mary Helen Robinson | Social Worker | 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967 | 2006-06-12 |
| 1073550240 | Kathryn P Littleton | Social Worker | 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967 | 2006-05-31 |
| Find all providers in MONCKS CORNER | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.