NPIMap

Organization Active NPI

Shanna McGusty

  • Clinical Social Worker
  • Waldorf, MD
National Provider Identifier
1295517308
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHANNA MCGUSTY
Practice address
11308 Golden Eagle PL Unit E
Waldorf, MD 20603-5978
Phone
(301) 710-8447
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Shanna McGusty, LCSW-CNPI 1548915291
Title
Mental Health Therapist
Phone
(301) 710-8447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11308 Golden Eagle PL Unit E
Waldorf, MD 20603-5978

Mailing address

11308 Golden Eagle PL Unit E
Waldorf, MD 20603-5978
Phone (301) 710-8447

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1295517308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11308 GOLDEN EAGLE PL UNIT E",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035978",
            "telephone_number": "301-710-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11308 GOLDEN EAGLE PL UNIT E",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035978",
            "telephone_number": "301-710-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNA MCGUSTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A",
        "authorized_official_last_name": "MCGUSTY",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "301-710-8447",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.