Individual provider Active NPI

Shambricka North, LMSW

  • Social Worker
  • Columbia, SC
National Provider Identifier
1225573181
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG50081775 Issued in DC
Practice address
501 Pelham Dr
H301
Columbia, SC 29209-1341
Phone
(202) 415-9085
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG50081775 DC Primary

Addresses

Primary practice location

501 Pelham Dr
H301
Columbia, SC 29209-1341

Mailing address

501 Pelham Dr
H301
Columbia, SC 29209-1341
Phone (202) 415-9085

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211112002308 SC Practitioner - Clinical Social Worker 9032508056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1917 Mitchell St
Columbia, SC 29205-4301
Phone (803) 764-9372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG50081775DCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitioning North CurrentSince Sep 15, 2021 Accepting new patients
She'S Counseling Trichology & Consulting LLC CurrentSince Jun 13, 2023 Accepting new patients

Locations

2638 Two Notch Rd
Ste 210
Columbia, SC 29204
Phone (803) 497-2274

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1225573181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PELHAM DR",
            "address_2": "H301",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091341",
            "telephone_number": "202-415-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PELHAM DR",
            "address_2": "H301",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091341",
            "telephone_number": "202-415-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "SHAMBRICKA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50081775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.