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SHANTARA L. BUSSEY-MARTIN LCSW
NPI 1417617028
Social Worker - Clinical in Miami, FL

Active since December 22, 2021PECOS Enrolled
3510 BISCAYNE BLVD, MIAMI, FL 33137(954) 567-7141 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2022, Dec 22, 2021 (2 updates tracked since 2021).

About Shantara L. Bussey-martin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTARA L. BUSSEY-MARTIN LCSW (NPI 1417617028) is an individual clinical provider in Miami, Florida, licensed in Florida (SW19158) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417617028
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANTARA L. BUSSEY-MARTINCredential: LCSW
Location Address3510 BISCAYNE BLVDMiami, FL 33137-3840
Mailing Address5710 Ne Miami CtMiami, FL 33137-2063 · (305) 567-3398
Phone(954) 567-7141
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 22, 2021
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1417617028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW19158
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3510 BISCAYNE BLVD, Miami, FL 33137
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shantara L. Bussey-martin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355729930
PECOS Enrollment IDI20260326003016
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.92 – $187.05
Typical copayment $0.00 (range $15.23 – $46.76)
Most-billed visit code NA
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YULIET ALFONSO ZALDIVAR DH
Dental Hygienist
3510 BISCAYNE BLVD
MIAMI, FL 33137
Miami-Dade County (305) 203-5230
YOSNARYS RAMIREZ MARTINEZ RDH
Dental Hygienist
3510 BISCAYNE BLVD
MIAMI, FL 33137
Miami-Dade County (305) 576-1234
CARE RESOURCE COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
3510 BISCAYNE BLVD
MIAMI, FL 33137
Miami-Dade County (305) 576-1234
DR. AMANDA COLONNEAUX DDS
Dentist (Dental Public Health)
3510 BISCAYNE BLVD
MIAMI, FL 33137
Miami-Dade County (414) 943-4802
TIFFANY CRIDER MS
Counselor (Mental Health)
3510 BISCAYNE BLVD
MIAMI, FL 33137
Miami-Dade County (305) 576-1234
GLORIA CABRAL R.D, L.D/N
Dietitian, Registered
3510 BISCAYNE BLVD
MIAMI, FL 33137
Miami-Dade County (305) 576-1234
CARMEN A PAEZ MD
Internal Medicine (Infectious Disease)
3510 BISCAYNE BLVD
MIAMI, FL 33137
Miami-Dade County (305) 576-1234
QUELE SAMARA NASCIMENTO DOS SANTOS LMHC
Counselor (Mental Health)
3510 BISCAYNE BLVD
MIAMI, FL 33137
Miami-Dade County (305) 576-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantara Bussey-martin's NPI number?

The NPI number for Shantara Bussey-martin is 1417617028. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Shantara Bussey-martin located?

Shantara Bussey-martin practices at 3510 Biscayne Blvd, Miami, FL 33137. The listed phone number is (954) 567-7141.

What is Shantara Bussey-martin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shantara Bussey-martin enrolled in Medicare?

Yes. Shantara Bussey-martin is registered in the Medicare PECOS enrollment system.

What insurance does Shantara Bussey-martin accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Shantara Bussey-martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shantara Bussey-martin was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.