Joyce Shantell Joyner
Individual provider Active NPI Social Worker · Blackville, SC
NPI 1669047767 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1669047767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 12442 (SC)
- Practice address
- 58 Ethel Ter
Blackville, SC 29817-2130 - Phone
- (803) 290-3617
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12442 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Path Services | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12442 | SC | Yes |
Addresses
Primary practice location
58 Ethel Ter
Blackville, SC 29817-2130
Mailing address
58 Ethel Ter
Blackville, SC 29817-2130
Phone (803) 290-3617
Other providers in Blackville, SC
- Helping Hands Care Service
- Helping Hands Care Service
- Helping Hands Care Service
- Willie Mae Hutto
- In Home Care Services
- Amy Ellis Kinard
- Low Country Health Care System Mobile Health Services
- Low Country Health Care System, Inc.
- Jacob Matthew Lucas
- Nofame National Organization for Advancing Minority Equality
All providers in Blackville, SC · Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.