Active NPI
Shannon Sammis, MSW
- Social Worker
- Columbia, MD
National Provider Identifier
1265000343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 27303
- Practice address
- 10632 Little Patuxent Pkwy
Columbia, MD 21044-3273 - Phone
- (443) 909-8985
- NPI assigned
- Jun 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 27303 | MD | Primary |
Addresses
Primary practice location
10632 Little Patuxent Pkwy
Columbia, MD 21044-3273
Mailing address
4929 Klee Mill Rd S
Sykesville, MD 21784-9224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27303 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourishing Roots Comprehensive Family Services LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Sykesville, MD
- NPI 1356173348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1265000343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4929 KLEE MILL RD S",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217849224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10632 LITTLE PATUXENT PKWY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443273",
"telephone_number": "443-909-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMIS",
"first_name": "SHANNON",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "27303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.