Shakeisha S Alexander, LMSW
Individual provider Active NPI Social Worker · Baltimore, MD
NPI 1013547272 · NPPES record last updated Jan 16, 2020
Key facts
- NPI
- 1013547272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 24092 (MD)
- Practice address
- 1900 N Howard St Ste 300
Baltimore, MD 21218-5909 - Phone
- (443) 438-6742
- Fax
- (443) 773-5624
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24092 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 24092 | MD | Yes |
Addresses
Primary practice location
1900 N Howard St Ste 300
Baltimore, MD 21218-5909
Mailing address
1900 N Howard St Ste 300
Baltimore, MD 21218-5909
Phone (443) 438-6742
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3876389 | Medicaid | MD |
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.