Individual provider Active NPI

Ava Iris Barron-Shasho, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1447300041
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08655 Issued in MD
Practice address
3806 Tabor Rd
Owings Mills, MD 21117-1201
Phone
(410) 356-0796
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 08655 MD Primary

Addresses

Primary practice location

3806 Tabor Rd
Owings Mills, MD 21117-1201

Mailing address

3806 Tabor Rd
Owings Mills, MD 21117-1201
Phone (410) 356-0796

Other practice location 1

103 Old Court Rd
Pikesville, MD 21208-4002
Phone (410) 356-0796

Other identifiers 1

IdentifierTypeStateIssuer
800400500MedicaidMD

Other names 1

  • Ava I Barron-Shasho Other name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
08655MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1447300041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 TABOR RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171201",
            "telephone_number": "410-356-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 TABOR RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171201",
            "telephone_number": "410-356-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Old Court Rd",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212084002",
            "country_code": "US",
            "telephone_number": "410-356-0796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRON-SHASHO",
        "first_name": "AVA",
        "middle_name": "IRIS",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800400500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "BARRON-SHASHO",
            "middle_name": "I",
            "credential": "LCSW-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.