Provider Demographics
NPI:1083967871
Name:MCFARLIN, SHEEVA G (LISW)
Entity Type:Individual
Prefix:
First Name:SHEEVA
Middle Name:G
Last Name:MCFARLIN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 STEPHANIE DR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-3636
Mailing Address - Country:US
Mailing Address - Phone:843-534-7235
Mailing Address - Fax:877-439-3868
Practice Address - Street 1:1 CARRIAGE LANE
Practice Address - Street 2:BUILDING E SUITE 202
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4141
Practice Address - Country:US
Practice Address - Phone:843-534-7235
Practice Address - Fax:877-439-3868
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLMSW-10149104100000X
SC101491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1760596480Medicaid