Active NPI
Shannon Doyle, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1174292585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 8840 Stanford Blvd Ste 1600
Columbia, MD 21045-5909 - Phone
- (240) 512-0141
- Fax
- (240) 512-0151
- NPI assigned
- Sep 9, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
8840 Stanford Blvd Ste 1600
Columbia, MD 21045-5909
Mailing address
12 Drawbridge CT
Catonsville, MD 21228-2401
Phone (443) 204-3888
Other practice location 1
1122 Kenilworth Dr Ste 307
Towson, MD 21204-2146
Phone (240) 512-0141
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1174292585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 DRAWBRIDGE CT",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212282401",
"telephone_number": "443-204-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 STANFORD BLVD STE 1600",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455909",
"telephone_number": "240-512-0141",
"fax_number": "240-512-0151"
}
],
"practiceLocations": [
{
"address_1": "1122 Kenilworth Dr Ste 307",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "212042146",
"country_code": "US",
"telephone_number": "240-512-0141",
"fax_number": "240-512-0151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOYLE",
"first_name": "SHANNON",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.