Active NPI
Shannon Clark, LMSW
- Social Worker
- Calhoun Falls, SC
National Provider Identifier
1780378471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 19135
- Practice address
- 535 Jackson St
Calhoun Falls, SC 29628-1222 - Phone
- (864) 418-8578
- Fax
- (864) 418-8203
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 19135 | SC | Primary |
Addresses
Primary practice location
535 Jackson St
Calhoun Falls, SC 29628-1222
Mailing address
313 Main St Ste B
Greenwood, SC 29646-2757
Phone (864) 330-8240
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients |
Locations
1547 Parkway
Greenwood, SC 29646
Phone (864) 223-8331
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, SC
- NPI 1124135009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1780378471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 MAIN ST STE B",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462757",
"telephone_number": "864-330-8240",
"fax_number": "864-943-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 JACKSON ST",
"city": "CALHOUN FALLS",
"state": "SC",
"postal_code": "296281222",
"telephone_number": "864-418-8578",
"fax_number": "864-418-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SHANNON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "19135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calhoun Falls, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.