Active NPI
Mariah Bliss Shandri, LMSW
- Social Worker
- Ankeny, IA
National Provider Identifier
1154848125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 008322
- Practice address
- 514 NW Bayberry CT
Ankeny, IA 50023-2272 - Phone
- (563) 599-2588
- NPI assigned
- Aug 29, 2017
- 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 | 008322 | IA | Primary |
Addresses
Primary practice location
514 NW Bayberry CT
Ankeny, IA 50023-2272
Mailing address
514 NW Bayberry CT
Ankeny, IA 50023-2272
Phone (563) 599-2588
Other names 1
- Mariah Bliss Griffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 13, 2023 through Dec 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008322 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154848125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 NW BAYBERRY CT",
"city": "ANKENY",
"state": "IA",
"postal_code": "500232272",
"telephone_number": "563-599-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 NW BAYBERRY CT",
"city": "ANKENY",
"state": "IA",
"postal_code": "500232272",
"telephone_number": "563-599-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANDRI",
"first_name": "MARIAH",
"middle_name": "BLISS",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "008322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAH",
"last_name": "GRIFFIN",
"middle_name": "BLISS",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.