Individual
MRS. SHANNON RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1176 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-3371
(843) 876-8431
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18097
SC
Other
Enumeration date
03/24/2026
Last updated
03/26/2026
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