Shanna Beverly McGusty

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24388 Issued in MD

Practice address

11308 Golden Eagle PL Unit E
Waldorf, MD 20603-5978

Phone

(301) 710-8447

NPI assigned

Feb 21, 2022

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)

Not enrolled

State licenses

Practice roles

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.

• Shanna McGusty

  • Clinical Social Worker
  • Waldorf, MD
  • NPI 1295517308
  NPD Authorized official

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1548915291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11308 GOLDEN EAGLE PL UNIT E",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035978",
            "telephone_number": "301-710-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11308 GOLDEN EAGLE PL UNIT E",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035978",
            "telephone_number": "301-710-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUSTY",
        "first_name": "SHANNA",
        "middle_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "24388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Ruth McClure, LCPC
• Tabisha A McCoy
• Lynton M McCrae, RMP
• Vivian McCray
• Peggy Ann McDonald, R.N.
• Catherine McKiernan
• Tywanda McLaurin-Jones, PH.D.
• Jennifer L McManus, C.R.N.P
• Robin McManus
• Travis Andre McPhun, RN

• Social Worker in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.