Shanice Bligen, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14831 Issued in SC

Practice address

770 Pennywell CT
Columbia, SC 29229-8439

Phone

(910) 849-5362

Fax

(803) 708-4803

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1255042131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PENNYWELL CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298439",
            "telephone_number": "910-849-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PENNYWELL CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298439",
            "telephone_number": "910-849-5362",
            "fax_number": "803-708-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIGEN",
        "first_name": "SHANICE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Herron Blease Sr., D.D.S.
• Deborah Elizabeth Bledsoe, CRNA
• Leigh Ann Blendowski
• Mary Blevins
• Sonya Renee Blick, LISW-CP
• Madelyn Bliss
• Stephanie P Blizzard, PHARMD
• Scott Allen Bloch, MD
• Silvia M Bloch, MD
• Jenna K Block

• 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 Dec 12, 2022; 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.