MEDICARE: MS. SHIRLEY FURTICK LISW, AP-CP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	3286	SC

General Provider Information

NPI Number	:	1073811535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHIRLEY FURTICK LISW, AP-CP

Provider Business Mailing Address
First Line	:	PO BOX 8462
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29202-8462
Country	:	US
Telephone Number	:	803-779-5356
Fax Number	:	803-779-2135

Provider Business Practice Location Address
First Line	:	1919 GADSDEN ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2346
Country	:	US
Telephone Number	:	803-779-5356
Fax Number	:	803-779-2135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2011
Last Update Date	:	03/08/2011

Similar Medicare Providers

1477683001 — CAROLINA EYE CLINIC LLC
Practice Location Address:

1901 GADSDEN ST
COLUMBIA, SC
29201-2346

Practice Phone: 803-799-7358
Practice Fax: 803-799-3919

1871579573 — DR. THORNTON STERLING MCKINNEY JR. M.D.
Practice Location Address:

1919 GADSDEN ST
COLUMBIA, SC
29201-2346

Practice Phone: 803-779-5356
Practice Fax: 803-779-2135

1336291947 — DR. MARK E. BOLTE PSY.D.
Practice Location Address:

1903 GADSDEN ST , PALMETTO COUNSELING ASSOCIATES, LLC
COLUMBIA, SC
29201-2346

Practice Phone: 803-254-9767
Practice Fax: 803-254-9740

1225298698 — JEROME HANLEY
Practice Location Address:

1919 GADSDEN ST
COLUMBIA, SC
29201-2346

Practice Phone: 803-779-5356
Practice Fax:

1891082418 — DONALD R GIDNEY LISW-CP, LCSW, LCAS
Practice Location Address:

1919 GADSDEN ST
COLUMBIA, SC
29201-2346

Practice Phone: 803-779-5356
Practice Fax: 803-779-2135

1275161507 — DR. LEAH MARIE TAYLOR PSYD
Practice Location Address:

10440 SHAKER DR STE 203
COLUMBIA, MD
21046-2346

Practice Phone: 410-740-2468
Practice Fax:

Directions to “ MS. SHIRLEY FURTICK LISW, AP-CP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.