Individual provider Active NPI

Susanna Shapiro, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1538540265
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20807 Issued in MD
Practice address
13975 Connecticut Ave Ste 250
Silver Spring, MD 20906-2900
Phone
(301) 557-1911
Fax
(301) 557-1949
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20807 MD Primary

Addresses

Primary practice location

13975 Connecticut Ave Ste 250
Silver Spring, MD 20906-2900

Mailing address

9826 Hollow Glen PL
Silver Spring, MD 20910-1138
Phone (301) 204-2228

Other practice location 1

7987 Georgia Ave
Silver Spring, MD 20910-4838
Phone (301) 557-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116004279 DC Practitioner - Clinical Social Worker 4587016498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

2155 Champlain St NW
Marie Reed HLTH Ctr
Washington, DC 20009-2795
Phone (202) 407-7747

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 407-7747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20807MDMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope Inc. CurrentSince Jan 8, 2024 Accepting new patients
Community of Hope, Inc CurrentSince Jan 8, 2024 Accepting new patients
Community of Hope, Inc. Current Accepting new patients

Locations

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

Organizations & group practices 3

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1538540265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 HOLLOW GLEN PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101138",
            "telephone_number": "301-204-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE STE 250",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062900",
            "telephone_number": "301-557-1911",
            "fax_number": "301-557-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7987 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104838",
            "country_code": "US",
            "telephone_number": "301-557-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "SUSANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.