Individual provider · Type 1 NPI

Shantara L. Bussey-Martin, LCSW

Clinical Social Worker · Miami, FL

NPI number 1417617028 Active

Practice location

3510 Biscayne Blvd
Miami, FL 33137-3840

Call (954) 567-7141 Map

Mailing address

5710 NE Miami Ct
Miami, FL 33137-2063

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XSW19158 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1417617028

Shantara L. Bussey-Martin, LCSW's National Provider Identifier is 1417617028, issued on Dec 22, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Miami, FL. The record was last updated on Jan 12, 2024.