Individual provider Active NPI

Shacondra Latasha Shannt Thompson, LISW-CP

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1700548831
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14401 Issued in SC
Practice address
6119 White Horse Rd Ste 14
Greenville, SC 29611-3838
Phone
(864) 614-7001
Fax
(864) 408-8590
NPI assigned
Oct 6, 2021
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14401 SC Primary

Addresses

Primary practice location

6119 White Horse Rd Ste 14
Greenville, SC 29611-3838

Mailing address

336 Riverdale Rd
Simpsonville, SC 29680-7747
Phone (864) 341-7588

Other practice location 1

336 Riverdale Rd
Simpsonville, SC 29680-7747
Phone (864) 341-7588

Other names 1

  • Latasha Thompson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104002028 SC Practitioner - Clinical Social Worker 8628467016 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Community Health Care, Inc CurrentSince Nov 19, 2022 Accepting new patients
Foothills Community Health Care, Inc. CurrentSince Nov 19, 2022 Accepting new patients
Foothills Community Health Care, Inc CurrentSince Jun 1, 2022 Accepting new patients
Che Behavioral Health Services of South Carolina, P.C. Clinical CurrentSince Nov 1, 2021 Accepting new patients
Foothills Community Health Care, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC Clinical PastSince Dec 13, 2020 Accepting new patients
Foothills Community Health Care, Inc. Past Accepting new patients

Locations

302 Pearman Dairy Rd
Ste C1
Anderson, SC 29625
Phone (864) 224-0822

110 Liberty Dr
Clemson, SC 29631
Phone (864) 722-0283

403 Hillcrest Dr
Easley, SC 29640
Phone (864) 343-1220

403 Hillcrest Dr
Ste E
Easley, SC 29640
Phone (864) 343-1220

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4
  • Direct secure messaging: shacondra.thompson.1@30137.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1700548831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 RIVERDALE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807747",
            "telephone_number": "864-341-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 WHITE HORSE RD STE 14",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113838",
            "telephone_number": "864-614-7001",
            "fax_number": "864-408-8590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 Riverdale Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807747",
            "country_code": "US",
            "telephone_number": "864-341-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHACONDRA",
        "middle_name": "LATASHA SHANNT",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "THOMPSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.