Active NPI
Shahla Garrison Abdi, LMSW
- Social Worker
- Gaithersburg, MD
National Provider Identifier
1093399503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24312
- Practice address
- 16220 Frederick Rd Ste 310
Gaithersburg, MD 20877-4020 - Phone
- (301) 358-4388
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 24312 | MD | Primary |
Addresses
Primary practice location
16220 Frederick Rd Ste 310
Gaithersburg, MD 20877-4020
Mailing address
1003 W 7TH St Ste 500
Frederick, MD 21701-8512
Phone (301) 345-1022
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24312 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adolescent and Family Services/Addictions | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Annapolis, MD
- NPI 1902175128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1093399503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 W 7TH ST STE 500",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217018512",
"telephone_number": "301-345-1022",
"fax_number": "301-560-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16220 FREDERICK RD STE 310",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208774020",
"telephone_number": "301-358-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDI",
"first_name": "SHAHLA",
"middle_name": "GARRISON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "24312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.