Revamped Mental Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVAMPED MENTAL HEALTH

Practice address

306 Ollivander LN
Elgin, SC 29045-8568

Phone

(216) 849-5366

NPI assigned

Jun 3, 2025

Organization subpart

No

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

Authorized official

Name

Shanee Michelle James, LISW-CPNPI 1750889796

Title

Owner

Phone

(216) 849-5366

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanee M James

  • Social Worker
  • Shaw Afb, SC
  • NPI 1750889796

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1336032671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 OLLIVANDER LN",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458568",
            "telephone_number": "216-849-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 OLLIVANDER LN",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458568",
            "telephone_number": "216-849-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAMPED MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SHANEE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-849-5366",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Blonaisz Price, CCC/SLP
• Virginia Propst
• Publix Super Markets, Inc.
• Vickie Taylor Pyfrom, R.N./B.S.N.
• Elizabeth Bingham Ramirez, RDN
• Eva Reynolds, NP
• Jonica D Richardson
• Emily Rebecca Roberts
• Shamira Alejandria Robertson
• RSW Med LLC

• All providers in Elgin, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.