# KERSHAW COUNTY SCHOOL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kershaw County Schools RBHS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245631167
- **Authorized official:** DR. ALISA GOODMAN PH.D (DIRECTOR FOR INSTRUCTIONAL SUPPORT)
- **Authorized official phone:** (803) 432-8416

## Contact information

- **Practice address:** 1109 CAMPBELL ST, CAMDEN, SC 29020-3507
- **Practice address phone:** (803) 425-7712
- **Practice address fax:** (803) 425-7713
- **Mailing address:** 2029 W DEKALB ST, CAMDEN, SC 29020-2093
- **Mailing address phone:** (803) 432-8416
- **Mailing address fax:** (803) 425-8918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 101YS0200X | School Counselor | — | NULL | Yes |
| 101YS0200X | School Counselor | — | — | Yes |
| 103T00000X | Psychologist | 422 | SC | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | 422 | SC | — |
| 103TS0200X | School Psychologist | 422 | SC | — |
| 1041S0200X | School Social Worker | — | NULL | — |
| 1041S0200X | School Social Worker | — | — | — |

## Other

- **Enumeration date:** 09/10/2014
- **Last updated:** 09/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2800 | — | SC |