Individual provider Active NPI

Hannah Joy Lyn Shivery, LCSW-C

  • Clinical Social Worker
  • Lutherville Timonium, MD
National Provider Identifier
1184934028
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16915 Issued in MD
Practice address
100 Margate Rd
Lutherville Timonium, MD 21093-5837
Phone
(410) 601-7753
NPI assigned
Oct 13, 2010
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16915 MD Primary

Addresses

Primary practice location

100 Margate Rd
Lutherville Timonium, MD 21093-5837

Mailing address

100 Margate Rd
Lutherville Timonium, MD 21093-5837
Phone (410) 622-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140417001537 MD Practitioner - Clinical Social Worker 9436381886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Margate Rd
Lutherville Timonium, MD 21093-5837
Phone (410) 622-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16915MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions, LLC CurrentSince Oct 16, 2013 Accepting new patients

Locations

305 Washington Ave
Ste 500
Towson, MD 21204
Phone (410) 622-4306

504 Baltimore Ave
Towson, MD 21204
Phone (410) 404-2473

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1184934028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARGATE RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210935837",
            "telephone_number": "410-622-4306",
            "fax_number": "443-378-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARGATE RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210935837",
            "telephone_number": "410-601-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERY",
        "first_name": "HANNAH",
        "middle_name": "JOY LYN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.