Shani Cerritos, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18372 Issued in MD

Practice address

188 Thomas Johnson Dr Ste 203
Frederick, MD 21702-5122

Phone

(240) 658-8825

NPI assigned

May 17, 2016

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

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bright Life Therapy , LLC

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1285334003

  Clinical, MD

  Medicare reassignment NPD Authorized official
• Quince Orchard Psychotherapy LLC

  • Psychiatry Physician
  • Rockville, MD
  • NPI 1336670389

  DC

  Medicare reassignment Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, MD

  Medicare reassignment NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  DC

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1043667264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 THOMAS JOHNSON DR STE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025122",
            "telephone_number": "240-658-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 THOMAS JOHNSON DR STE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025122",
            "telephone_number": "240-658-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRITOS",
        "first_name": "SHANI",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Maryland Eye Associates, P.C.
• Central Maryland Surgical Center
• Centrepointe Counseling
• Centrepointe Counseling, Inc.
• Barbara J Cephas-Dorsey, LCSW-C
• Cfe Unification LLC
• Peter William Cha, DDS
• Chiedzo Chaduka, CRNP-FAMILY
• Susan J Chaitovitz I, M.D.
• Heather Chalfin

• All providers in Frederick, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.