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General NPI Number Information
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NPI Number | 1487393427
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Entity Type | Individual
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Provider Name | EMMA SHEPARDSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/28/2022
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1700 1ST BAXTER XING STE 204
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City | FORT MILL
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State | SC
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Zip | 29708-8954
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Country | US
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Telephone | 913-957-1732
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Fax | 803-965-3014
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Provider Business Mailing Address
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Address Line | 1700 1ST BAXTER XING STE 204
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City | FORT MILL
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State | SC
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Zip | 29708-8954
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Country | US
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Telephone | 913-957-1732
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Fax | 803-965-3014
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C015899
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | .16584CP
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License Number State | SC
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