Individual provider Active NPI

Sharika Yvette Bazemore

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1558718890
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010039 Issued in NC
Practice address
3211 Pleasant Garden Rd Apt 2a
Greensboro, NC 27406-4666
Phone
(919) 610-8460
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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 P010039 NC Primary

Addresses

Primary practice location

3211 Pleasant Garden Rd Apt 2a
Greensboro, NC 27406-4666

Mailing address

3211 Pleasant Garden Rd Apt 2a
Greensboro, NC 27406-4666
Phone (919) 610-8460

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
I20160926000885 NC Practitioner - Clinical Social Worker 7911294590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P010039NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - North Carolina PC CurrentSince Aug 8, 2025 Accepting new patients
Bazemore Counseling & Consulting, PLLC Clinical CurrentSince Oct 9, 2022 Accepting new patients
Selfless Foundation, Inc. Past Accepting new patients

Locations

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

5826 Fayetteville Rd
Ste 211
Durham, NC 27713
Phone (855) 675-4144

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1558718890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 PLEASANT GARDEN RD APT 2A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064666",
            "telephone_number": "919-610-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 PLEASANT GARDEN RD APT 2A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064666",
            "telephone_number": "919-610-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZEMORE",
        "first_name": "SHARIKA",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-04-15",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.