Individual
JESSICA SHAWNTA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
910 COOK RD BLDG B, ORANGEBURG, SC 29118-2124
(803) 395-3675
(803) 395-3685
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3322
(803) 395-3675
(803) 395-3685
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9726
SC
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413093
—
SC
Enumeration date
12/02/2009
Last updated
04/23/2026
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