Lateefa Zawi Shabazz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C018468 Issued in NC

Practice address

2100 Country Club Rd Apt 706
Jacksonville, NC 28546-7309

Phone

(317) 469-3582

NPI assigned

May 26, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Brighter Spirits, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1134080104
  NPD Authorized official
• Brighter Spirits, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, NC
  • NPI 1720958325
  NPD Authorized official

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1811635998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 COUNTRY CLUB RD APT 706",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467309",
            "telephone_number": "910-939-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 COUNTRY CLUB RD APT 706",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467309",
            "telephone_number": "317-469-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAZZ",
        "first_name": "LATEEFA",
        "middle_name": "ZAWI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S Self
• Donna Colleen Semple, P.T
• Sensory Planet Therapy, PLLC
• Serenity Behavioral Therapies, PLLC
• Melissa Ann Settelmeyer
• John Andraos Shalhoub, LPC NCC
• Shalom Medical PC
• Jasmine Shamble
• Rucsandra Raluca Shanahan, RN
• Melinda Anne Shannon, LMBT

• Clinical Social Worker in Jacksonville, NC
• Providers in Jacksonville, 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 Jun 9, 2026; 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.