=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497609895
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELISHA MCCLARY-HERMITT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2026
-----------------------------------------------------
Last Update Date | 02/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15 BROAD ST
-----------------------------------------------------
City | SUMTER
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29150-4224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-902-5929
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 628 NELSON BLVD APT C3
-----------------------------------------------------
City | KINGSTREE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29556-4037
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-356-5016
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 18071
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------