Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shantara L. Bussey-Martin, LCSW

Individual provider Mental Health Counselor · NPI 1417617028

Shantara L. Bussey-Martin, LCSW is a Clinical Social Worker in Miami, Florida. Qualified in 2018, 8 years ago. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3510 Biscayne Blvd
Miami, FL 33137-3840
Phone: (954) 567-7141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW19158 (FL)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1417617028
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 22, 2021
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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