Leeann Shotts Ahders

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11350 Issued in SC

Practice address

268 Marabou Cir
West Columbia, SC 29169-4737

Phone

(803) 457-3872

NPI assigned

Dec 23, 2024

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

Other names 1

• Leeann Shotts Hoffner Former name

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Wellness LLCGroup PAC ID 1658817739, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Therapeutic Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, SC
  • NPI 1144060476
  Medicare reassignment Care Compare group NPD
• Graceful Journey Hospice LLC

  • Community Based Hospice Care Agency
  • Rock Hill, SC
  • NPI 1851113898
  NPD (past)

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1821806712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 MARABOU CIR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694737",
            "telephone_number": "803-457-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MARABOU CIR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694737",
            "telephone_number": "803-457-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHDERS",
        "first_name": "LEEANN",
        "middle_name": "SHOTTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEEANN",
            "last_name": "HOFFNER",
            "middle_name": "SHOTTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Agape Home Health of SC, LLC (Agape Home Health of SC)
• Agape Nursing & Rehabilitation, Inc.
• Agape Therapy Inc
• Agape Therapy, Inc.
• Alison Susan Aguilera, DNP, ACNPC-AG
• Ayesha Ahmad
• Imade Ethel Aimua
• Jose M Albert Jr., MD
• Felix Alexander, LPC
• Melissa Hunter Alexander, MA CCC-SLP

• Social Worker in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.