Laurel Shaler, PHD, LISW-CP, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8506 Issued in SC

Practice address

2502B Wade Hampton Blvd Ste 2
Greenville, SC 29615

Phone

(864) 380-4288

NPI assigned

Oct 26, 2006

Reactivated

Jun 14, 2013

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2018 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1689759078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 ARUNDEL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151304",
            "telephone_number": "864-380-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502B WADE HAMPTON BLVD STE 2",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-380-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALER",
        "first_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "PHD, LISW-CP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-07-05",
        "deactivation_date": "2012-09-17",
        "reactivation_date": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008334",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin Shah, MD
• Supriya A Shah, MD
• Tarak Shah, M.D.
• Urja Shah, DO
• Sarah Shahawy, MD
• David Lee Shallcross, MD
• Manisha Chandrakant Shanbhag, MD
• Sneha Shanbhag, D.O.
• Elizabeth Ingram Shands, PH.D.
• Ellen Shanley, PT

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.