Active NPI
Shirley H Brown, LCSW
- Clinical Social Worker
- Fort Mill, SC
National Provider Identifier
1295921997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9490
- Practice address
- 100 Stone Village Dr
Suite 206
Fort Mill, SC 29708-6588 - Phone
- (855) 268-8880
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006772 | NC | |
| Clinical Social Worker | 1041C0700X | 9490 | SC | Primary |
| Clinical Social Worker | 1041C0700X | 13609 | MD |
Addresses
Primary practice location
100 Stone Village Dr
Suite 206
Fort Mill, SC 29708-6588
Mailing address
100 Stone Village Dr
Suite 206
Fort Mill, SC 29708-6588
Phone (855) 268-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13609 | MD | MD | Clinical Social Worker |
| C006772 | NC | MD | Clinical Social Worker |
| 9490 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerging Strength Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Lancaster, SC
- NPI 1407372733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1295921997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STONE VILLAGE DR",
"address_2": "SUITE 206",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086588",
"telephone_number": "855-268-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STONE VILLAGE DR",
"address_2": "SUITE 206",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086588",
"telephone_number": "855-268-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHIRLEY",
"middle_name": "H",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006772",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "9490",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.