Active NPI
Jessica Ruth Shen, LGSW
- Social Worker
- Baltimore, MD
National Provider Identifier
1285031716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20341
- Practice address
- 6707 Whitestone Rd
Suite 106
Baltimore, MD 21207-4106 - Phone
- (410) 265-8737
- NPI assigned
- Nov 26, 2014
- 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 | 20341 | MD | Primary |
Addresses
Primary practice location
6707 Whitestone Rd
Suite 106
Baltimore, MD 21207-4106
Mailing address
704 Linden Grove PL
Apt 101
Odenton, MD 21113-2709
Phone (302) 593-1491
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 |
|---|---|---|---|
| 20341 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1285031716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 LINDEN GROVE PL",
"address_2": "APT 101",
"city": "ODENTON",
"state": "MD",
"postal_code": "211132709",
"telephone_number": "302-593-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6707 WHITESTONE RD",
"address_2": "SUITE 106",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212074106",
"telephone_number": "410-265-8737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "JESSICA",
"middle_name": "RUTH",
"name_prefix": "Miss",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "20341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.