Provider Demographics
NPI:1558195842
Name:DILL-WILLIAMS, SHANNON (MSW)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:DILL-WILLIAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 LORDSHIP LN
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2555
Mailing Address - Country:US
Mailing Address - Phone:803-603-8330
Mailing Address - Fax:
Practice Address - Street 1:113 LORDSHIP LN
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2555
Practice Address - Country:US
Practice Address - Phone:803-603-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker