Individual
MRS. SHANNON JEAN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
3031 SCOTSMAN RD # 14, COLUMBIA, SC 29223-1812
(803) 220-4288
Mailing address
3031 SCOTSMAN RD # 14, COLUMBIA, SC 29223-1812
(803) 220-4288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13439
SC
1041C0700X
Clinical Social Worker
SW14991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740810183
—
SC
Enumeration date
01/24/2020
Last updated
03/19/2026
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