Individual provider Active NPI

Shalena B Williams, LMSW

  • Social Worker
  • North Charleston, SC
National Provider Identifier
1659778512
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW006222 Issued in SC
Practice address
7410 Northside Dr Ste 201
North Charleston, SC 29420-4277
Phone
(843) 569-3079
Fax
(843) 569-2403
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW006222 SC Primary

Addresses

Primary practice location

7410 Northside Dr Ste 201
North Charleston, SC 29420-4277

Mailing address

7410 Northside Dr Ste 201
North Charleston, SC 29420-4277
Phone (843) 569-3079

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
MSW006222SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Directions, LLC Past Accepting new patients
Governors Office Continuum of Care Past Accepting new patients

Organizations & group practices 2

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1659778512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 NORTHSIDE DR STE 201",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204277",
            "telephone_number": "843-569-3079",
            "fax_number": "843-569-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 NORTHSIDE DR STE 201",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204277",
            "telephone_number": "843-569-3079",
            "fax_number": "843-569-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHALENA",
        "middle_name": "B",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "MSW006222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.