Shanon Dean, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17113 Issued in SC

Practice address

420 Polifka Dr BLDG 1042
Shaw Afb, SC 29152-5100

Phone

(803) 895-6356

NPI assigned

Mar 7, 2022

Sex

Female

Sole proprietor

Yes

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.

• Kershaw County School District

  • School Counselor
  • Camden, SC
  • NPI 1245631167

  School

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2026.

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1689321978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 W DEKALB ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202093",
            "telephone_number": "803-432-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 POLIFKA DR BLDG 1042",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525100",
            "telephone_number": "803-895-6356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2029 W Dekalb St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290202093",
            "country_code": "US",
            "telephone_number": "803-432-8416 x1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "SHANON",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17113",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "SC",
            "license": "14561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana N Chavis, PHARMD
• Cheryl Christmas, LCSW
• Andrew Jeffery Conner, DO
• Johari Curtis, LICSW
• Cody K Darrington, DO
• Dominic Anthony Defrancis, M.D.
• Jennifer Dawn Dukette, PHARM. D
• Faith Wellness Factory LLC
• Leslie Marie Filler, DNP, APRN, FNP-BC
• Angelique Stacey Ann Forrester, MD

• All providers in Shaw Afb, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.