Shaylynnkinne Yvonna Ivory, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

26981 Issued in MD

Practice address

702 Russell Ave Ste 100
Gaithersburg, MD 20877-2605

Phone

(301) 330-0006

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1033797733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 POSTGATE TER APT 301",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209066023",
            "telephone_number": "313-544-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 RUSSELL AVE STE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772605",
            "telephone_number": "301-330-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4123 Postgate Ter Apt 301",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209066023",
            "country_code": "US",
            "telephone_number": "313-544-8193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVORY",
        "first_name": "SHAYLYNNKINNE",
        "middle_name": "YVONNA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF SOCIAL WORK LICENSE",
            "identifier": "LMSW-26981",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tprather@alldaymedicalcare.com",
            "affiliation": "N",
            "endpointDescription": "Practice Administrators direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 Russell Ave Ste 100",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208772605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.