Shirley Furtick, LISW, AP-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3286 Issued in SC

Practice address

1919 Gadsden St
Columbia, SC 29201-2346

Phone

(803) 779-5356

Fax

(803) 779-2135

NPI assigned

Mar 8, 2011

Last updated

Mar 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1225298698
  NPD (past)
• Wright Consulting Group, LLC

  • Clinical Psychologist
  • Columbia, SC
  • NPI 1851561468
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1073811535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8462",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292028462",
            "telephone_number": "803-779-5356",
            "fax_number": "803-779-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GADSDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012346",
            "telephone_number": "803-779-5356",
            "fax_number": "803-779-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURTICK",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "LISW, AP-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "3286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Allsbrook Funderburk, PA-C
• Jasmine Funn
• Tameka Stacey-Ann Funny, D.O.
• Tracie Smith Furgess, DDS
• Gregory Furness, PAC
• Katerina Futch, DO
• Future Psych Solutions, LLC
• Deborah Lynn Fyffe, MD
• G Abrams and R Cohen SC 1 PC
• G&E Medical Equipment and Supply LLC

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.