Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelby Vaughn, LISW-CP

Individual provider Clinical Social Worker · NPI 1467975102

Shelby Vaughn, LISW-CP is a Clinical Social Worker in Blythewood, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2017
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Practice location Address checks out

114 Summer Pines Dr
Blythewood, SC 29016-9614
Phone: (843) 614-2191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1048 Wildwood Centre Dr, Columbia, SC 29229-8420 — (803) 999-3752

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15693 (SC)

Record details

NPI number1467975102
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedJuly 25, 2017
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024

Other providers in Blythewood