Individual provider Active NPI

Danielle Nadine Sheally

  • Addiction (Substance Use Disorder) Counselor
  • Lavale, MD
National Provider Identifier
1033868534
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
AC2810 Issued in MD
Practice address
14701 National Hwy SW Ste 5&6
Lavale, MD 21502-6573
Phone
(301) 687-0940
Fax
(301) 687-0948
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X AC2810 MD Primary

Addresses

Primary practice location

14701 National Hwy SW Ste 5&6
Lavale, MD 21502-6573

Mailing address

14701 National Hwy SW Ste 5&6
Lavale, MD 21502-6573
Phone (301) 687-0940

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
AC2810MDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1033868534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 NATIONAL HWY SW STE 5&6",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215026573",
            "telephone_number": "301-687-0940",
            "fax_number": "301-687-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 NATIONAL HWY SW STE 5&6",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215026573",
            "telephone_number": "301-687-0940",
            "fax_number": "301-687-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALLY",
        "first_name": "DANIELLE",
        "middle_name": "NADINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.