Gwendolyn Spann Shorter, LISW, CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9089 Issued in SC

Practice address

430 Albert St
410 Cedar LN.
Bishopville, SC 29010-1202

Phone

(443) 857-1248

Fax

(803) 843-1410

NPI assigned

Jan 27, 2010

Last updated

Jan 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Creative Therapies, Inc.

  • Community/Behavioral Health Agency
  • Bishopville, SC
  • NPI 1720317324
  NPD (past) Authorized official

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1780915983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ALBERT ST",
            "address_2": "PO BOX 282",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101202",
            "telephone_number": "443-857-1248",
            "fax_number": "803-483-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ALBERT ST",
            "address_2": "410 CEDAR LN.",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101202",
            "telephone_number": "443-857-1248",
            "fax_number": "803-843-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTER",
        "first_name": "GWENDOLYN",
        "middle_name": "SPANN",
        "name_prefix": "Mrs.",
        "credential": "LISW, CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tharwat Ali Safa, ED.S
• SC Department of Juvenile Justice
• Nicholas Alexander Schuster, DMD
• Mary Calhoun Scott, M. ED.
• Susan C Scouten, APRN-BC, FNP
• Mark W Sohner, M.D.
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #07598)
• State of South Carolina (SC Dhec)
• Anna Outlaw Swartz, PA-C
• Sharon Swinton

• Clinical Social Worker in Bishopville, SC
• Providers in Bishopville, 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 Jan 27, 2010; 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.