Lekkiah Mazyck, MCD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

05297 Issued in MD

Practice address

5104 Shamrocks Delight Dr
Bowie, MD 20720-6363

Phone

(301) 237-1078

NPI assigned

Apr 9, 2008

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lekkiah.mazyckslp.p3@direct.mcg-hhs.nextgenshare.com

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1205009370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DORNOCH WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 SHAMROCKS DELIGHT DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206363",
            "telephone_number": "301-237-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZYCK",
        "first_name": "LEKKIAH",
        "credential": "MCD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005236",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Matthews
• Shana Bates Matthews, M.A.,CCC-SLP
• Shanikqua L May
• Janel Maybe
• Gerrod Alan Mayo, PT
• Rexford Amaya Mba
• Matthew Ebere Mbadi
• Brawn Mbah
• Etien Turboo Mbah
• Kingsly Mbah

• Speech-Language Pathologist in Bowie, MD
• Providers in Bowie, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.