Shannon Sampedro, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18892 Issued in MD

Practice address

414 Penwood Rd
Silver Spring, MD 20901-2718

Phone

(703) 389-2832

NPI assigned

Dec 22, 2017

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 and National Provider Directory roles.

• Clover Therapy Group, LLC

  • Clinical Social Worker
  • Silver Spring, MD
  • NPI 1164114559
  NPD Authorized official
• Chesapeake Counseling

  • Clinical Social Worker
  • Kensington, MD
  • NPI 1306391073
  NPD (past)

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1386150548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PENWOOD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012718",
            "telephone_number": "703-389-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PENWOOD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012718",
            "telephone_number": "703-389-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPEDRO",
        "first_name": "SHANNON",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saman F Ghahremani MD PC
• Sambeth Healthcare LLC
• Robyn Neches Samet, PA
• Samir B. Hishmeh, D.D.S., PA
• Sammy Noumbissi DDS PA
• Shemika L Sample, DDS
• Monica Sampson, MA, CCC-SLP
• Richard James Samsky
• Abel Saba Samson
• Carmela Samson

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, 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 Jul 20, 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.