NPI 1003465675

Shane R Smith, LMSW

Practitioner Social Worker Moncks Corner, SC

Practice location

Address: 403 Stony Landing Rd, Moncks Corner, SC 29461-3967
Phone: (843) 761-8282
Fax: (843) 761-7308

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 12469 (SC)

Other Social Worker providers in South Carolina →

Registry record

NPI: 1003465675
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2019
Record last updated: 6 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.