Shameka Rachelle Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009681 Issued in NC

Practice address

1550 Union Rd
Ste a
Gastonia, NC 28054-5522

Phone

(704) 482-2460

NPI assigned

Jul 23, 2013

Last updated

Aug 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zoe Counseling and Consulting PLLC

  • Community/Behavioral Health Agency
  • Belmont, NC
  • NPI 1376097162

  Clinical

  Medicare reassignment NPD Authorized official
• Wise Life Solutions, Inc

  • Clinical Social Worker
  • Belmont, NC
  • NPI 1457165664
  NPD Authorized official

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1457793176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3703",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540038",
            "telephone_number": "980-989-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 UNION RD",
            "address_2": "STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545522",
            "telephone_number": "704-482-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 Majestic Ct Ste 6",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545152",
            "country_code": "US",
            "telephone_number": "704-674-7290",
            "fax_number": "704-396-6547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAMEKA",
        "middle_name": "RACHELLE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3232",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahagony Smith
• Mallory Smith, LCMHCA
• Nicholas Daniel Smith
• Reesa Smith, LPN
• Rodney Wilson Smith, M.D.
• Sharlene T Smith, PHD., MBA, MSIT
• Sharon Annette Smith, PA-C
• Steven Allan Smith, M.D.
• Tanwanda Smith
• Wanda Renee Smith, MA CCCSLP

• Clinical Social Worker in Gastonia, NC
• Providers in Gastonia, 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 Aug 26, 2020; 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.