Individual provider Active NPI

Shie Benisti, LCSW

  • Social Worker
  • Wilmington, NC
National Provider Identifier
1760157259
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C014378 Issued in NC
Practice address
5329 Oleander Dr Ste 206
Wilmington, NC 28403-5841
Phone
(828) 557-4380
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014378 NC
Social Worker 104100000X C014378 NC Primary

Addresses

Primary practice location

5329 Oleander Dr Ste 206
Wilmington, NC 28403-5841

Mailing address

201 N Front St Ste 512
Wilmington, NC 28401-5092
Phone (910) 202-6968

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
I20250617004139 NC Order and Referring Only - Clinical Social Worker 5799296612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C014378NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SBD Therapy, PLLC Clinical CurrentSince Dec 21, 2025 Accepting new patients

Locations

201 N Front St
Ste 512
Wilmington, NC 28401
Phone (910) 202-6968

Organizations & group practices 1

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1760157259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 512",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015092",
            "telephone_number": "910-202-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 OLEANDER DR STE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035841",
            "telephone_number": "828-557-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENISTI",
        "first_name": "SHIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014378",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C014378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.