Individual provider Active NPI

Sharise Monique Bijou, MSA, MSW, LCSW

  • Clinical Social Worker
  • Goldsboro, NC
National Provider Identifier
1093911901
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13489 Issued in AZ
Practice address
2407 Norwood Ave
Goldsboro, NC 27534-1672
Phone
(316) 207-0183
NPI assigned
Jun 26, 2007
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TPSW2284 FL
Clinical Social Worker 1041C0700X 0904014575 VA
Clinical Social Worker 1041C0700X 5152 KS
Clinical Social Worker 1041C0700X 13489 AZ Primary

Addresses

Primary practice location

2407 Norwood Ave
Goldsboro, NC 27534-1672

Mailing address

2407 Norwood Ave
Goldsboro, NC 27534-1672
Phone (316) 207-0183

Other practice location 1

4TH Medical Group
1050 Jabara Ave
Seymour Johnson AFB, NC 27531-2310
Phone (316) 207-0183

Other names 1

  • Monica M Bijoux Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sharise.m.bijou.mil@mail.mil
Direct Messaging Address info@betterlifetherapy.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209001777 NC Practitioner - Clinical Social Worker 1951770130 Practice locations: Goldsboro, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13489AZMDClinical Social Worker
5152KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Decide to Move, LLC Clinical CurrentSince Jan 15, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1093911901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 NORWOOD AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341672",
            "telephone_number": "316-207-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 NORWOOD AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341672",
            "telephone_number": "316-207-0183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4TH MEDICAL GROUP",
            "address_2": "1050 JABARA AVE",
            "address_purpose": "LOCATION",
            "city": "SEYMOUR JOHNSON AFB",
            "state": "NC",
            "postal_code": "275312310",
            "country_code": "US",
            "telephone_number": "316-207-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIJOU",
        "first_name": "SHARISE",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "MSA, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-12-07",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW2284",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014575",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5152",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "13489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharise.m.bijou.mil@mail.mil",
            "affiliation": "N",
            "address_1": "4TH MEDICAL GROUP",
            "address_2": "1050 JABARA AVE",
            "city": "SEYMOUR JOHNSON AFB",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275312310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@betterlifetherapy.net",
            "affiliation": "N",
            "endpointDescription": "Better Life Therapeutic Solutions, PLLC",
            "address_1": "2407 Norwood Ave",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275341672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "BIJOUX",
            "middle_name": "M",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.