Individual provider Active NPI

Shan Aaron Bassion

  • Clinical Social Worker
  • Hickory, NC
National Provider Identifier
1841780616
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005549 Issued in NC
Practice address
1781 Tate Blvd SE
Hickory, NC 28602-4251
Phone
(828) 963-3338
NPI assigned
May 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26051 NC
Clinical Social Worker 1041C0700X C005549 NC Primary

Addresses

Primary practice location

1781 Tate Blvd SE
Hickory, NC 28602-4251

Mailing address

4225 3Rd St NW
Hickory, NC 28601-6902
Phone (828) 963-3338

Other practice location 1

434 Hospital Dr
Linville, NC 28646
Phone (828) 262-4100

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
I20180711003453 NC Practitioner - Clinical Social Worker 0446506083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1528 Union Rd
Gastonia, NC 28054-2200
Phone 70486414772200

1781 Tate Blvd SE
Hickory, NC 28602-4252
Phone (828) 758-1320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005549NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Therapeutic Services, Inc CurrentSince Feb 27, 2023 Accepting new patients
Watauga Medical Center Inc CurrentSince Apr 25, 2018 Accepting new patients
Watauga Medical Center, Inc. CurrentSince Apr 25, 2018 Accepting new patients
Carolina Therapeutic Services, Inc Clinical CurrentSince Feb 27, 2023 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc CurrentSince Apr 25, 2018 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Apr 25, 2018 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

1528 Union Rd
Gastonia, NC 28054
Phone (828) 758-1320

1528 Union Rd
Ste B
Gastonia, NC 28054
Phone (828) 758-1320

1781 Tate Blvd SE
Ste 202
Hickory, NC 28602
Phone (828) 328-4398

Interoperability endpoints

  • Direct secure messaging: sbassion@ctshealth.medentdirect.com

Organizations & group practices 6

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1841780616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 3RD ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016902",
            "telephone_number": "828-963-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024251",
            "telephone_number": "828-963-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Linville",
            "state": "NC",
            "postal_code": "28646",
            "country_code": "US",
            "telephone_number": "828-262-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSION",
        "first_name": "SHAN",
        "middle_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26051",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.