Provider Demographics
NPI:1215368246
Name:SEEGARS, SHAMIKA FOSTER (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHAMIKA
Middle Name:FOSTER
Last Name:SEEGARS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2187 GREEN PEACH RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-9176
Mailing Address - Country:US
Mailing Address - Phone:803-235-1739
Mailing Address - Fax:
Practice Address - Street 1:2187 GREEN PEACH RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-9176
Practice Address - Country:US
Practice Address - Phone:803-235-1739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC118481041C0700X
NCC0102901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical