Kimberly Vered Shashoua, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011412 Issued in NC

Practice address

600 Merrimon Ave Apt 4B
Asheville, NC 28804-3430

Phone

(828) 398-4242

NPI assigned

Dec 4, 2017

Reactivated

Sep 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Vered Counseling Co

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1295240919
  NPD Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1447765268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MERRIMON AVE APT 4B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043430",
            "telephone_number": "828-398-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MERRIMON AVE APT 4B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043430",
            "telephone_number": "828-398-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288012036",
            "country_code": "US",
            "telephone_number": "828-298-0186",
            "fax_number": "828-298-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHASHOUA",
        "first_name": "KIMBERLY",
        "middle_name": "VERED",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-09-25",
        "deactivation_date": "2017-12-04",
        "reactivation_date": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "82-3445036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Paula Shapiro, LMHCA
• Hunter Winn Sharp, LPC, LCAS
• Brandy Sharpe
• Casey Sharpe
• Samuel Wesley Sharpe, LPC
• Rachel Shaughnessy, CRNA
• Cassandra Shaw, PH.D., NBC-HWC
• David Shaw, MSW
• Emily Shaw
• Randall Shaw, MHS, LRT/CTRS

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.