Shantara L. Bussey-Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19158 Issued in FL

Practice address

3510 Biscayne Blvd
Miami, FL 33137-3840

Phone

(954) 567-7141

NPI assigned

Dec 22, 2021

Last updated

Jan 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shantara.busseymartin.p1@direct.careresource.nextgenshare.com

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.

• Care Resource Community Health Centers, Inc

  dba Care resource

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1053311373
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MA

  Medicare reassignment NPD
• T.E.a Time Therapeutic Services LLC

  • Clinical Social Worker
  • Miami, FL
  • NPI 1699412858

  Mental Health

  NPD Authorized official
• Care Resource Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami Beach, FL
  • NPI 1083606495
  NPD
• Care Resource Community Health Centers, Inc.

  dba Care Resource Pharmacy Little Havana

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1164039798
  NPD

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1417617028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 NE MIAMI CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372063",
            "telephone_number": "305-567-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373840",
            "telephone_number": "954-567-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY-MARTIN",
        "first_name": "SHANTARA",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Busot Quintero
• Ruben A. Busquets, MS
• Andres Busse
• Jorge C Busse, MD
• Eric W Bussear, P.A.
• Denise M. Bustabad
• Carmen Lucia Bustamante Escobar, M.D.
• Yenifet Bustamante Hernandez
• Paula C Bustamante Mejia
• Lorena Bustamante Perdomo, RBT

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.