Individual provider Active NPI

Shamika J Ushry

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1326765215
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2717 Neuse Blvd
New Bern, NC 28562-2840
Phone
(252) 514-9888
NPI assigned
Oct 21, 2022
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2717 Neuse Blvd
New Bern, NC 28562-2840

Mailing address

1024 Spivey Cir
New Bern, NC 28562-5541
Phone (508) 944-4066

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
I20221108000119 NC Practitioner - Clinical Social Worker 7618344466 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Behavioral Health CurrentSince Oct 27, 2022 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
Recovery Innovations, Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

2701 N 16th St
Ste 316
Phoenix, AZ 85006

309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305

1724 Roxie Ave
Fayetteville, NC 28304
Phone (910) 484-1212

2717 Neuse Blvd
New Bern, NC 28562
Phone (252) 514-9888

107 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-1260

Organizations & group practices 3

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": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1326765215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 SPIVEY CIR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625541",
            "telephone_number": "508-944-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622840",
            "telephone_number": "252-514-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USHRY",
        "first_name": "SHAMIKA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.