Active NPI
Shannon Marie Reilley, LCSW-C
- Social Worker
- Frederick, MD
National Provider Identifier
1184171324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22951
- Practice address
- 604 Solarex CT Unit 201
Frederick, MD 21703-8655 - Phone
- (301) 663-8263
- NPI assigned
- Sep 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | 22951 | MD | Primary |
Addresses
Primary practice location
604 Solarex CT Unit 201
Frederick, MD 21703-8655
Mailing address
35 E Church St Unit a
Mount Airy, MD 21771-5463
Phone (240) 527-9395
Other practice location 1
1113 Healthway Dr
Salisbury, MD 21804-4470
Phone (410) 334-6961
Other practice location 2
2336 Goddard Pkwy
Salisbury, MD 21801-1126
Phone (410) 334-6961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609550001 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1184171324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E CHURCH ST UNIT A",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715463",
"telephone_number": "240-527-9395",
"fax_number": "410-334-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 SOLAREX CT UNIT 201",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038655",
"telephone_number": "301-663-8263"
}
],
"practiceLocations": [
{
"address_1": "1113 Healthway Dr",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218044470",
"country_code": "US",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6362",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2336 Goddard Pkwy",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218011126",
"country_code": "US",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILLEY",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "22951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.