Active NPI
Shelon Vanessa Gaul-Bunch, MSW
- Social Worker
- Hope Mills, NC
National Provider Identifier
1225364706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P005232
- Practice address
- 4821 Miranda Dr
Hope Mills, NC 28348-5674 - Phone
- (910) 551-5210
- NPI assigned
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P005232 | NC | Primary |
Addresses
Primary practice location
4821 Miranda Dr
Hope Mills, NC 28348-5674
Mailing address
4821 Miranda Dr
Hope Mills, NC 28348-5674
Phone (910) 551-5210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P005232 | Other | NC | PROVISIONAL LICENSED CLINICAL SOCAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P005232 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1225364706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4821 MIRANDA DR",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283485674",
"telephone_number": "910-551-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4821 MIRANDA DR",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283485674",
"telephone_number": "910-551-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUL-BUNCH",
"first_name": "SHELON",
"middle_name": "VANESSA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P005232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL LICENSED CLINICAL SOCAL WORKER",
"identifier": "P005232",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hope Mills, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.