Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Passafiume Shafer, LCMHC, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386880664

Susan Passafiume Shafer, LCMHC, LCAS is an Undefined Non-Physician Type (Specify) in Wilmington, North Carolina. Qualified in 1991, 35 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
35
Licensed in
NC
In the registry since
2008
Specialties on file
3

Practice location Address checks out

5010 Randell Pkwy Wilmington Nc 28403
Wilmington, NC 28403-2829
Phone: (910) 791-5719
Fax: (910) 799-8180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7254 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1892 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 7254 (NC)

Record details

NPI number1386880664
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS
Sole proprietorYes
NPI enumeratedDecember 17, 2008
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilmington