Individual provider Active NPI

Siphosenkosi Knick-Ndlovu, LCSW-C

  • Social Worker
  • Dundalk, MD
National Provider Identifier
1518315753
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
21772 Issued in MD
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

Updated by the provider on Dec 16, 2018

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 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 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
21772MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.