Camilla Cassandra Shakespeare, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

30818 Issued in MD

Practice address

9015 Woodyard Rd Ste 202-203
Clinton, MD 20735-4209

Phone

(301) 899-6222

NPI assigned

May 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Camilla Cassandra Hoffman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1194574913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 STONESBORO RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207441334",
            "telephone_number": "267-266-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD STE 202-203",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354209",
            "telephone_number": "301-899-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKESPEARE",
        "first_name": "CAMILLA",
        "middle_name": "CASSANDRA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "30818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLA",
            "last_name": "HOFFMAN",
            "middle_name": "CASSANDRA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harshal P Shah, D.O
• Mansi Hitendra Shah
• Mitesh V Shah, D.O.
• Reena Kunvarji Shah, PA
• Rushabh Sanjeev Shah
• Shalom Pharmacy
• Shalom Pharmacy and Medical Supplies LLC (Shalom Pharmacy and Medical Supplies)
• Deanna Sharpe, CRNP
• Jasmine Sharps
• Eulanda F Shaw, LCPC

• Social Worker in Clinton, MD
• Providers in Clinton, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.