Shana M Edwards, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082231 Issued in DC

Practice address

4451 Telfair Blvd Apt 5097
Camp Springs, MD 20746-5268

Phone

(571) 241-4038

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• District Healthcare Services, LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1366939225
  NPD (past)

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1285226480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 TELFAIR BLVD APT 5097",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207465268",
            "telephone_number": "571-241-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 TELFAIR BLVD APT 5097",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207465268",
            "telephone_number": "571-241-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SHANA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunna Sheree Dolby, FNP
• Alex Josue Duarte, PHARMD
• Anhtung N Duong
• Karimah S Edwards, PSY.D.
• Katesha Edwards
• Jamiah Patrice Elmore, LCSW
• Family Foot & Ankle Associates of Maryland, PA
• Fatima Y. Hussein
• Jerrye B Feliciana, PHD, LCPC-S
• First Choice Community Counseling

• Clinical Social Worker in Camp Springs, MD
• Providers in Camp Springs, 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 Feb 9, 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.