Shareese Nichole Kess, LCSW-C, CCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14917 Issued in MD

Practice address

604 Grain CT E
Millersville, MD 21108-1657

Phone

(410) 926-6322

NPI assigned

Feb 13, 2023

Last updated

Feb 13, 2023By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1487351169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 GRAIN CT E",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081657",
            "telephone_number": "410-926-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 GRAIN CT E",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081657",
            "telephone_number": "410-926-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESS",
        "first_name": "SHAREESE",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Millersville, MD
• Providers in Millersville, 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 Feb 13, 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.