Dishema S. Shuler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008432 Issued in NC

Practice address

136 Mangum Cir
Mooresville, NC 28117-6916

Phone

(803) 290-3081

NPI assigned

Apr 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243

  Mental Health

  Medicare reassignment NPD
• Swan'S Therapeutic Services PLLC

  • Community/Behavioral Health Agency
  • Mooresville, NC
  • NPI 1982026282
  NPD Authorized official

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1821355405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MANGUM CIR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176916",
            "telephone_number": "803-290-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MANGUM CIR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176916",
            "telephone_number": "803-290-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Turner Dr",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273205736",
            "country_code": "US",
            "telephone_number": "336-349-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2709 Pinedale Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274082017",
            "country_code": "US",
            "telephone_number": "803-290-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULER",
        "first_name": "DISHEMA",
        "middle_name": "S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C008432",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C008432",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION",
            "identifier": "1982026282",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Merrimon Sholar, DDS,OLLC
• Morgan Short
• Mia Shraga
• Lance Michael Shuff, LCMHC
• Misty Dawn Shulenburger
• George Bryan Shuping
• Christine L Siegfried, LCSW
• Luticia Stoker Signet, LPC, NCC, PHD CAND
• Charles Van Sikes III, MD
• Tanya Stefanie Sillato, RPH

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, 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 Oct 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.