Individual provider Active NPI

Gertrude Elizabeth Stoney Shaw, LISW-CP

  • Clinical Social Worker
  • Sumter, SC
National Provider Identifier
1326547431
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10315 Issued in SC
Practice address
30 Cuttino Rd
Sumter, SC 29150-2667
Phone
(803) 778-2442
NPI assigned
Feb 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10315 SC Primary

Addresses

Primary practice location

30 Cuttino Rd
Sumter, SC 29150-2667

Mailing address

645 S Seventh St
MC Bee, SC 29101-7101
Phone (843) 335-8291

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
I20180403000639 SC Practitioner - Clinical Social Worker 1052673001 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

651 Scholar Way
Suite 101
Summerville, SC 29486-3052
Phone (630) 884-9012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10315SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Counseling Clinical CurrentSince Jan 14, 2018 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Nov 16, 2020 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Jan 2, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Nov 16, 2020 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Health Care Partners of South Carolina, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Jan 2, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jan 28, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jan 28, 2020 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients
Sandhills Medical Foundation Past Accepting new patients

Locations

103 Main St N
Bethune, SC 29009
Phone (843) 334-6551

103 Main St N
Bldg N
Bethune, SC 29009
Phone (843) 334-7145

2611 Liberty Hill Rd
Camden, SC 29020
Phone (803) 432-3447

524 Doctors Ct
Chester, SC 29706
Phone (803) 325-7744

4711 Forest Dr
Ste 3
Columbia, SC 29206
Phone (646) 450-8990

1608 Main St
Conway, SC 29526
Phone (843) 488-6032

409 E Church St
Jefferson, SC 29718
Phone (843) 658-3005

205 W Marion St
Kershaw, SC 29067
Phone (803) 475-4701

40 Baldwin Ave
Lugoff, SC 29078
Phone (803) 408-3262

145 Palmetto Pointe Rd
Marion, SC 29571
Phone (843) 423-2400

727 S Seventh St
Mc Bee, SC 29101
Phone (843) 335-8291

645 S Seventh St
Mc Bee, SC 29101
Phone (803) 475-4701

126 N Pearl St
Pageland, SC 29728
Phone (843) 675-5004

448 Lakeshore Pkwy
Ste 110
Rock Hill, SC 29730
Phone (803) 323-1779

30 Cuttino Rd
Sumter, SC 29150
Phone (803) 778-2442

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1326547431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S SEVENTH ST",
            "city": "MC BEE",
            "state": "SC",
            "postal_code": "291017101",
            "telephone_number": "843-335-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CUTTINO RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502667",
            "telephone_number": "803-778-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "GERTRUDE",
        "middle_name": "ELIZABETH STONEY",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.