SHANNON CLARK
NPI 1780378471
Counselor in Greenwood, SC
- Individual
- Female
- Counselor
About SHANNON CLARK
This page provides the complete NPI Profile along with additional information for Shannon Clark, a provider established in Greenwood, South Carolina with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1780378471 assigned on June 2023. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1780378471 Verify this NPI
- Provider Name
- SHANNON CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1547 PARKWAY GREENWOOD, SC 29646
- Location Phone
- (864) 229-7120
- Mailing Address
- 1547 PARKWAY GREENWOOD, SC 29646
- Mailing Phone
- (864) 229-7120
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2023
- Last Update Date
- 06-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 421504 | MEDICAID (05) | SC | |
| 335 | OTHER (01) | SC | MEDICARE |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GREENWOOD, SC 29646
GREENWOOD, SC 29646
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780378471, enumerated as an "individual" on June 06, 2023.
The provider is located at 1547 PARKWAY GREENWOOD, SC 29646 and the phone number is (864) 229-7120.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
