Susanna Maria Wiles, L.G.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

17930 Issued in MD

Practice address

7474 Greenway Center Dr
Suite 730
Greenbelt, MD 20770-3504

Phone

(301) 345-1022

Fax

(301) 560-5558

NPI assigned

Sep 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susanna Maria Jabine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1649728809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR",
            "address_2": "SUITE 730",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "301-345-1022",
            "fax_number": "301-560-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR",
            "address_2": "SUITE 730",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "301-345-1022",
            "fax_number": "301-560-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "SUSANNA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "L.G.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNA",
            "last_name": "JABINE",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "credential": "L.G.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Wheatley, NP
• Lawrence R Whicker, M.D.
• Tanisha Kimberly Whitaker
• Stella White
• Victoria Whitmire-Cunningham
• Williams Life Center
• Jasmine Williams
• Krystal Geneva Williams, LMSW
• Lauryn Rachel Williams
• Renee L Williams

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.