Sue E Shealy, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

730 Issued in SC

Practice address

7 Gamecock Ave
Suite 710
Charleston, SC 29407-3379

Phone

(843) 763-9005

Fax

(843) 763-9005

NPI assigned

Jan 18, 2006

Last updated

Aug 26, 2010By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1144200924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BIRCHDALE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128801",
            "telephone_number": "843-763-9005",
            "fax_number": "843-763-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GAMECOCK AVE",
            "address_2": "SUITE 710",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073379",
            "telephone_number": "843-763-9005",
            "fax_number": "843-763-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "SUE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QM0197",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Jessup Shealy, PA-C
• Francis Weston Shealy III, O.D.
• Gerald J Shealy, MD
• Lauren Broadhead Shealy, MD
• Miller Williams Shealy III, MD
• Jessica Marie Shearer, NNP
• Mary Elizabeth Shearer, DNP
• Gabrielle Johnston Shebiro, PA-C
• Robert Jay Shebiro, DO
• Melissa Shedden, SLP

• Clinical Social Worker in Charleston, SC
• Providers in Charleston, 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 Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.