Individual provider Active NPI

Decislava Petrova Herriman, LMSW34241

  • Social Worker
  • Mechanicsville, MD
National Provider Identifier
1013683663
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW34241 Issued in MD
Practice address
25762 Baptist Church Rd
Mechanicsville, MD 20659-4522
Phone
(202) 515-1797
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW34241 MD Primary

Addresses

Primary practice location

25762 Baptist Church Rd
Mechanicsville, MD 20659-4522

Mailing address

25762 Baptist Church Rd
Mechanicsville, MD 20659-4522
Phone (202) 515-1797

Other practice location 1

225 Town Square Dr
Lusby, MD 20657-6534
Phone (410) 231-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW34241MDMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1013683663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25762 BAPTIST CHURCH RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594522",
            "telephone_number": "202-515-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25762 BAPTIST CHURCH RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594522",
            "telephone_number": "202-515-1797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Town Square Dr",
            "address_purpose": "LOCATION",
            "city": "Lusby",
            "state": "MD",
            "postal_code": "206576534",
            "country_code": "US",
            "telephone_number": "410-231-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRIMAN",
        "first_name": "DECISLAVA",
        "middle_name": "PETROVA",
        "credential": "LMSW34241",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "LMSW34241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.