Shayna Waites, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50081584 Issued in DC

Practice address

13149 Musicmaster Dr
Silver Spring, MD 20904-6805

Phone

(919) 523-4272

NPI assigned

Mar 13, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in DC

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community of Hope, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1649601154
  Medicare reassignment Care Compare group NPD
• Community of Hope Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1730681420
  NPD
• Community of Hope Inc.

  dba Community of Hope Pharmacy

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1801548805
  NPD

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1205411063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13149 MUSICMASTER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046805",
            "telephone_number": "919-523-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13149 MUSICMASTER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046805",
            "telephone_number": "919-523-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITES",
        "first_name": "SHAYNA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "21510",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Waechter, LGPC
• David A. Wagar, MD
• Lindsay Wagner, PHARMD
• Mark Wahl, MA
• Rebaz Waise
• Asnaku Bultume Wake
• Ashenafi Waktola, M.D.
• Kathyann M Walcott, MD
• Stanley Walden
• Lauren Avalon Waldorf

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.