Active NPI
Siphosenkosi Knick-Ndlovu, LCSW-C
- Social Worker
- Dundalk, MD
National Provider Identifier
1518315753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 21772
- Practice address
- 23 Shipping PL
Dundalk, MD 21222 - Phone
- (410) 282-5401
- Fax
- (410) 282-5403
- NPI assigned
- May 27, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 21772 | MD | Primary |
Addresses
Primary practice location
23 Shipping PL
Dundalk, MD 21222
Mailing address
23 Shipping PL
Dundalk, MD 21222-4318
Phone (410) 282-5401
Other practice location 1
3116 Wallford Dr
Apt D
Dundalk, MD 21222-2625
Phone (717) 449-2654
Other practice location 2
5411 Old Frederick Rd Ste 13&14
Baltimore, MD 21229-2195
Phone (410) 744-8100
Other practice location 3
2381 Sunset Ln
York, PA 17408-4336
Phone (410) 846-2891
Other names 1
- Siphosenkosi Ndlovu
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 |
|---|---|---|---|
| 21772 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Pike Health Center, Inc | Past | Accepting new patients | |
| National Pike Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1548460181
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1649203662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1518315753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SHIPPING PL",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212224318",
"telephone_number": "410-282-5401",
"fax_number": "410-282-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SHIPPING PL",
"city": "DUNDALK",
"state": "MD",
"postal_code": "21222",
"telephone_number": "410-282-5401",
"fax_number": "410-282-5403"
}
],
"practiceLocations": [
{
"address_1": "3116 Wallford Dr",
"address_2": "Apt D",
"address_purpose": "LOCATION",
"city": "Dundalk",
"state": "MD",
"postal_code": "212222625",
"country_code": "US",
"telephone_number": "717-449-2654",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5411 Old Frederick Rd Ste 13&14",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212292195",
"country_code": "US",
"telephone_number": "410-744-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2381 Sunset Ln",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174084336",
"country_code": "US",
"telephone_number": "410-846-2891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNICK-NDLOVU",
"first_name": "SIPHOSENKOSI",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "21772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIPHOSENKOSI",
"last_name": "NDLOVU",
"credential": "LGSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.