Individual provider Active NPI

Shaquira Wakefield, LCSW-C

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1639941123
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22902 Issued in MD
Practice address
5510 Cherokee Ave Ste 300
Alexandria, VA 22312-2320
Phone
(240) 650-3227
NPI assigned
Oct 27, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 22902 MD Primary

Addresses

Primary practice location

5510 Cherokee Ave Ste 300
Alexandria, VA 22312-2320

Mailing address

19280 Circle Gate Dr Apt 302
Germantown, MD 20874-5223
Phone (518) 414-7297

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
I20240621000390 DC Practitioner - Clinical Social Worker 0042753824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Hospital, Inc.Group PAC ID 5395774368, 5 clinicians

Practice addresses (Care Compare)

6410 Rockledge Dr
Suite 150
Bethesda, MD 20817-1829
Phone (301) 896-2036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Hospital, Inc. CurrentSince May 29, 2024 Accepting new patients
Suburban Hospital, Inc Single Specialty CurrentSince May 29, 2024 Accepting new patients

Locations

6410 Rockledge Dr
Ste 150
Bethesda, MD 20817
Phone (301) 896-2036

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1639941123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19280 CIRCLE GATE DR APT 302",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745223",
            "telephone_number": "518-414-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 CHEROKEE AVE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122320",
            "telephone_number": "240-650-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "SHAQUIRA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.