Shanon Dean, LISW-CP
Social Worker, Clinical in Shaw Afb, SC. Individual provider (NPI-1).
NPI number1689321978
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1689321978
- Entity type
- Individual (NPI-1)
- Name
- Shanon Dean
- Credential
- LISW-CP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2022
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 17113 | SC | Yes |
| 1041S0200X | Social Worker, School | 14561 | SC |
Practice location
420 Polifka Dr Bldg 1042Shaw Afb, SC 29152-5100
Phone 803-895-6356
Mailing address
2029 W Dekalb StCamden, SC 29020-2093
Phone 803-432-8416
Other practice locations
2029 W Dekalb St
Camden, SC 29020-2093
Camden, SC 29020-2093
Phone 803-432-8416
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