SHAWN MOODY CPSS
NPI 1104623545
Peer Specialist in Barnwell, SC
Active since February 25, 2025
About Shawn Moody Cpss NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN MOODY CPSS (NPI 1104623545) is an individual peer specialist in Barnwell, South Carolina and active in the NPI registry since February 2025.
NPPES Registry Identity
NPI1104623545
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHAWN MOODYCredential: CPSS
Location Address179 FULDER RD.Barnwell, SC 29812
Mailing Address179 Fulder Rd.Barnwell, SC 29812 · (803) 541-1245
Phone(803) 541-1245
Sole ProprietorNo
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 21, 2025
✔ NPI 1104623545 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
179 FULDER RD., Barnwell, SC 29812
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104623545, enumerated as an "individual" on February 25, 2025.
The provider is located at 179 FULDER RD. BARNWELL, SC 29812 and the phone number is (803) 541-1245.
Peer Specialist with taxonomy code 175T00000X.
