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NPI Code Detail

MEDICARE: SHANNON A. SHULER LISW-CPS

MEDICARE: SHANNON A. SHULER LISW-CPS
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
11041C0700XClinical Social Worker9975SC

General Provider Information

NPI Number : 1659576304
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON A. SHULER LISW-CPS
Provider Business Mailing Address
First Line : 377 BLYTHE CREEK DR
Second Line :
City : BLYTHEWOOD
State : SC
Zip : 29016-8192
Country : US
Telephone Number : 803-908-8889
Fax Number :
Provider Business Practice Location Address
First Line : 1068 S LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-3720
Country : US
Telephone Number : 803-726-9417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2007
Last Update Date : 03/27/2026

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Directions to “ SHANNON A. SHULER LISW-CPS” Practice Location

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