Individual provider Active NPI

Shakti Marchetti, LCSW

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1700524485
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19879 Issued in FL
Practice address
1451 Woodruff Rd # 1068
Greenville, SC 29607-5741
Phone
(786) 258-8081
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16187 SC
Clinical Social Worker 1041C0700X SW19879 FL Primary

Addresses

Primary practice location

1451 Woodruff Rd # 1068
Greenville, SC 29607-5741

Mailing address

1451 Woodruff Rd # 1068
Greenville, SC 29607-5741
Phone (786) 258-8081

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
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
SW19879FLMDClinical Social Worker
16187SCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1700524485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 WOODRUFF RD # 1068",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075741",
            "telephone_number": "786-258-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 WOODRUFF RD # 1068",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075741",
            "telephone_number": "786-258-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTI",
        "first_name": "SHAKTI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16187",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.