Shane R Smith, LMSW
Shane R Smith is a Social Worker provider (Social Worker) practicing in Moncks Corner, SC, registered in the NPPES registry with NPI 1003465675 since 2019. Practices at Fetter Health Care Network, Inc. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003465675 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Shane R Smith |
| Credential | LMSW |
| Sex | Male |
| Practice address | 403 STONY LANDING RD, Moncks Corner, SC, 29461 |
| Phone | 8437618282 |
| Fax | 8437617308 |
| Enumeration date | 2019-09-06 |
| Last updated in NPPES | 2019-09-06 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 104100000X | Social Worker | Primary | 12469 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435201 | Medicaid | SC | — |
Copy-ready billing details
Provider: Shane Smith, LMSW NPI: 1003465675 Taxonomy: 104100000X (Social Worker) Address: 403 STONY LANDING RD, Moncks Corner, SC, 29461
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548230220 | Elizabeth Ann Jensen | Individual | Psychiatric/Mental Health Nurse Practitioner | Moncks Corner, SC |
| 1538100219 | Johnette Owens | Individual | Professional Counselor | Moncks Corner, SC |
| 1245273663 | Kristi West | Individual | Psychiatric/Mental Health Nurse Practitioner | Moncks Corner, SC |
| 1851300537 | Virginia Villeponteaux | Individual | Psychiatry Physician | Moncks Corner, SC |
| 1104839547 | Hillel Glover | Individual | Psychiatry Physician | Moncks Corner, SC |
| 1336250760 | Tawanda Tolliver-Mchenry | Individual | Mental Health Counselor | Moncks Corner, SC |
| 1013009562 | John Dorman | Individual | Mental Health Counselor | Moncks Corner, SC |
| 1831258805 | Dianne Corbin | Individual | Clinical Social Worker | Moncks Corner, SC |
Verify this record
Cross-check NPI 1003465675 against the authoritative CMS record: view Shane R Smith on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Shane Smith practice?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-09-06.