Active NPI
Maya Sheppard
- Clinical Social Worker
- Brentwood, MD
National Provider Identifier
1659104644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3909 Lawrence St
Brentwood, MD 20722-2121 - Phone
- (206) 618-4623
- NPI assigned
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3909 Lawrence St
Brentwood, MD 20722-2121
Mailing address
3909 Lawrence St
Brentwood, MD 20722-2121
Phone (206) 618-4623
Other practice location 1
5211 Auth Rd Ste 203
Suitland, MD 20746-4339
Phone (202) 257-6632
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1659104644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 LAWRENCE ST",
"city": "BRENTWOOD",
"state": "MD",
"postal_code": "207222121",
"telephone_number": "206-618-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 LAWRENCE ST",
"city": "BRENTWOOD",
"state": "MD",
"postal_code": "207222121",
"telephone_number": "206-618-4623"
}
],
"practiceLocations": [
{
"address_1": "5211 Auth Rd Ste 203",
"address_purpose": "LOCATION",
"city": "Suitland",
"state": "MD",
"postal_code": "207464339",
"country_code": "US",
"telephone_number": "202-257-6632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPPARD",
"first_name": "MAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.