Shyla Bernice Cabell, LCSWA, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015248 Issued in NC

Practice address

2404 Charles Blvd Ste H
Greenville, NC 27858-5901

Phone

(252) 713-5084

NPI assigned

Dec 1, 2020

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

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Zoe Mental Wholeness Clinic PLLC

  • Professional Counselor
  • Greenville, NC
  • NPI 1275423170
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1821693680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 JENNIFER PL",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589436",
            "telephone_number": "252-350-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 CHARLES BLVD STE H",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585901",
            "telephone_number": "252-713-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABELL",
        "first_name": "SHYLA",
        "middle_name": "BERNICE",
        "credential": "LCSWA, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Dewayne Byrd, CRNA
• Graham Vance Byrum Jr., M.D.
• Tina Byrum, SLP
• Censon Lemuel Lizarondo Cabanas, M.D.
• Brian Ray Cabarrus, M.D.
• Janiece Ann Caceres, FNP-C
• Jean L Cahoon, MA LPA
• Joseph Matthew Cahoon
• Sunny Ren Cai, MD
• Courtney Caiola, PHD, MPH, RN

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, 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 Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.