Active NPI
Shanell Cooper, LGSW
- Clinical Social Worker
- Capitol Heights, MD
National Provider Identifier
1487441812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LG200001317
- Practice address
- 4780 Addison Rd Apt 351
Capitol Heights, MD 20743-1260 - Phone
- (202) 321-3903
- NPI assigned
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LG200001317 | DC | Primary |
Addresses
Primary practice location
4780 Addison Rd Apt 351
Capitol Heights, MD 20743-1260
Mailing address
4780 Addison Rd Apt 351
Capitol Heights, MD 20743-1260
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
| License | State | Type | Specialty |
|---|---|---|---|
| LG200001317 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1487441812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 ADDISON RD APT 351",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207431260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 ADDISON RD APT 351",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207431260",
"telephone_number": "202-321-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SHANELL",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LG200001317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.