Shebby Ananie Neely-Goodwin, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3401 Issued in SC

Practice address

346 Fort Lindley Rd
Laurens, SC 29360-6634

Phone

(803) 412-2823

NPI assigned

Jul 26, 2021

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1407529597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 FORT LINDLEY RD",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293606634",
            "telephone_number": "803-412-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 FORT LINDLEY RD",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293606634",
            "telephone_number": "803-412-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY-GOODWIN",
        "first_name": "SHEBBY",
        "middle_name": "ANANIE",
        "name_prefix": "Dr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://shebbyneelygoodwin.wixsite.com/website-1",
            "affiliation": "N",
            "endpointDescription": "family services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "346 Fort Lindley Rd",
            "city": "Laurens",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293606634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://shebbyneelygoodwin.wixsite.com/website-1",
            "affiliation": "N",
            "endpointDescription": "family services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "346 Fort Lindley Rd",
            "city": "Laurens",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293606634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://shebbyneelygoodwin.wixsite.com",
            "affiliation": "N",
            "endpointDescription": "family service center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "346 Fort Lindley Rd",
            "city": "Laurens",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293606634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jessica L Newton, OTR/L
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• Kyle Ryck Nield, DDS
• Novacare, LLC

• Social Worker in Laurens, SC
• Providers in Laurens, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.