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NPI Code Detail

MEDICARE: SHALAMAR INDIA NICOLE BOYD LISW-CP

MEDICARE: SHALAMAR INDIA NICOLE BOYD LISW-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
11041C0700XClinical Social Worker27174MD
21041C0700XClinical Social Worker17091SC

General Provider Information

NPI Number : 1770434607
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALAMAR INDIA NICOLE BOYD LISW-CP
Provider Business Mailing Address
First Line : 67 PRESIDENT ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-5712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-8908
Country : US
Telephone Number : 843-792-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ SHALAMAR INDIA NICOLE BOYD LISW-CP” Practice Location

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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.

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