Individual provider · Type 1 NPI

Shyasia Simone McIlwain

Clinical Social Worker · Lugoff, SC

NPI number 1326947995 Active

Practice location

40 Baldwin Ave
Lugoff, SC 29078-9406

Mailing address

1111 Broad St Ste 3D
Camden, SC 29020-3610

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18908 (SC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1326947995

Shyasia Simone McIlwain's National Provider Identifier is 1326947995, issued on Nov 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lugoff, SC. The record was last updated on Nov 2, 2026.