STACY PASSAGE SHULL LISW-CP
NPI 1497001531
Social Worker - Clinical in Columbia, SC

Q: What is Stacy Shull's NPI number?

The NPI number for Stacy Shull is 1497001531. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Q: What is Stacy Shull's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Shull was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2012

6439 GARNERS FERRY RD, DORN VAMC, COLUMBIA, SC 29209(803) 776-4000 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2018, Sep 29, 2016 (2 updates tracked since 2016).

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About Stacy Passage Shull Lisw-cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY PASSAGE SHULL LISW-CP (NPI 1497001531) is an individual clinical provider in Columbia, South Carolina, licensed in South Carolina (9969) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1497001531

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACY PASSAGE SHULLCredential: LISW-CP

Location Address6439 GARNERS FERRY RD, DORN VAMCColumbia, SC 29209-1638

Mailing Address6439 Garners Ferry RdColumbia, SC 29209-1638 · (803) 776-4000

Phone(803) 776-4000

Sole ProprietorNo

Enumeration DateJuly 26, 2012

Last NPPES UpdateOctober 17, 20182 updates tracked since enumeration

✔ NPI 1497001531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in SC · 9969

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

6439 GARNERS FERRY RD, Columbia, SC 29209

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Other Providers at the Same Location NPPES 20

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