Individual provider Active NPI

Shondra L Cowling, LCSW-C

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1366563421
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11536 Issued in MD
Practice address
4103 Colonial Rd
Pikesville, MD 21208-6041
Phone
(410) 935-3501
Fax
(410) 484-0120
NPI assigned
Apr 3, 2007
Last updated
Dec 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11536 MD Primary

Addresses

Primary practice location

4103 Colonial Rd
Pikesville, MD 21208-6041

Mailing address

4103 Colonial Rd
Pikesville, MD 21208-6041
Phone (410) 935-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20230103000061 MD Practitioner - Clinical Social Worker 9830569128 Practice locations: Pikesville, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11536MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1366563421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 COLONIAL RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086041",
            "telephone_number": "410-935-3501",
            "fax_number": "410-484-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 COLONIAL RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086041",
            "telephone_number": "410-935-3501",
            "fax_number": "410-484-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLING",
        "first_name": "SHONDRA",
        "middle_name": "L",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.