BETTIE SHAW (NPI# 1861809113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861809113 |
Entity Type | Individual |
Full Name | BETTIE SHAW |
Other Name | MRS. BETTIE SHAW |
Practice Address |
210 Lawrence St Sumter SC 29150 |
Mailing Address |
210 Lawrence St Sumter SC 29150-2682 |
Practice Telephone | 8038834392 |
Enumeration Date | 2014-07-18 |
Last Update Date | 2014-07-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
008101411 | SC | Behavioral Health & Social Service Providers |
Street Address |
210 LAWRENCE ST |
City | SUMTER |
State | SC |
Zip Code | 29150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
Find all providers in zip 29150 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407495633 | Natasha Moseng | Counselor | 449 Chippewa Cir, Sumter, SC 29150-3131 | 2020-01-06 |
1699235283 | Shawn Smith-robinson | Counselor | 411 N Salem Ave, Sumter, SC 29150-4115 | 2019-03-21 |
1306219316 | Tara Lynn Corbett | Counselor | 444b Broad St, Sumter, SC 29150-4157 | 2015-11-12 |
1306225735 | Wynette Rogers | Counselor | 1175 N Guignard Dr # Q, Sumter, SC 29150-1519 | 2015-05-19 |
1598061855 | Tia D. Buchanan | Counselor | 531 Oxford St Ste A, Sumter, SC 29150 | 2011-02-03 |
1285803619 | Kelli A Barnes | Counselor | 2575 Lin Do Ct, Suite C, Sumter, SC 29150-1832 | 2008-02-29 |
1346321452 | Margaret Claire Wise | Counselor | 1175 N. Guignard Drive, Sumter, SC 29151-1946 | 2006-10-17 |
1144319203 | Lawrence P Gipson | Counselor | Swcmhc/caf, 1175 N. Guignard Dr., Sumter, SC 29151-1946 | 2006-10-12 |
1396847695 | Kamala E Henley | Counselor | Swcmhc/carolina Place, 525 N. Lafayette Dr., Sumter, SC 29151-1946 | 2006-09-05 |
1770503963 | John Gaydos | Counselor | 525 N. Lafayette Dr., Swcmhc/carolina Place, Sumter, SC 29151-1946 | 2006-07-20 |
Find all providers in SUMTER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.