Individual provider Active NPI

Sherlease Renee Bagby-Cannady, LCSW-C

  • Social Worker
  • Pikesville, MD
National Provider Identifier
1477025765
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23725 Issued in MD
Practice address
17 Warren Rd Ste 25a
Pikesville, MD 21208-5003
Phone
(410) 701-0770
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 23725 MD Primary

Addresses

Primary practice location

17 Warren Rd Ste 25a
Pikesville, MD 21208-5003

Mailing address

17 Warren Rd
Pikesville, MD 21208-5334
Phone (410) 701-0770

Other names 1

  • Sherlease Renee Bagby Former 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

State licenses

LicenseStateTypeSpecialty
23725MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 101 Health and Wellness Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1477025765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085334",
            "telephone_number": "410-701-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN RD STE 25A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085003",
            "telephone_number": "410-701-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGBY-CANNADY",
        "first_name": "SHERLEASE",
        "middle_name": "RENEE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERLEASE",
            "last_name": "BAGBY",
            "middle_name": "RENEE",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.