Provider Demographics
NPI:1710647722
Name:CARY, SHEPHERD CLAIRE (LMSW)
Entity Type:Individual
Prefix:
First Name:SHEPHERD
Middle Name:CLAIRE
Last Name:CARY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 ANDERSON RD S
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-7318
Mailing Address - Country:US
Mailing Address - Phone:803-351-7113
Mailing Address - Fax:
Practice Address - Street 1:220 OTMAN CT
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-8283
Practice Address - Country:US
Practice Address - Phone:803-351-7113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-19
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10010104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC10010OtherSTATE OF SOUTH CAROLINA