Individual provider Active NPI

Shannon Paradise, LISW-CP

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1326599200
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8984 Issued in SC
Practice address
225 Adley Way
Greenville, SC 29607-6511
Phone
(864) 987-9747
Fax
(864) 987-9770
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 8984 SC Primary

Addresses

Primary practice location

225 Adley Way
Greenville, SC 29607-6511

Mailing address

225 Adley Way
Greenville, SC 29607-6511
Phone (864) 987-9747

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

LicenseStateTypeSpecialty
8984SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sherbondy'S LLC Psychiatric Services PastSince Apr 2, 2015 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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1326599200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076511",
            "telephone_number": "864-987-9747",
            "fax_number": "864-987-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076511",
            "telephone_number": "864-987-9747",
            "fax_number": "864-987-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADISE",
        "first_name": "SHANNON",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.