Organization Active NPI

Ayeplace LLC

  • Clinical Social Worker
  • Beltsville, MD
National Provider Identifier
1689543704
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AYEPLACE LLC
Practice address
4600 Powder Mill Rd Ste 450
Beltsville, MD 20705-2686
Phone
(959) 203-9900
NPI assigned
Nov 5, 2025
Last updated
Jun 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AYEPLACE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Authorized official

Name
Brendette Shannon, LCSW-CNPI 1730436387
Title
Executive Director
Phone
(959) 203-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4600 Powder Mill Rd Ste 450
Beltsville, MD 20705-2686

Mailing address

4600 Powder Mill Rd Ste 450
Beltsville, MD 20705-2686
Phone (959) 203-9900

Other practice location 1

55 Victoria St
Windsor, CT 06095-2218
Phone (959) 203-9900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781913600000",
    "number": "1689543704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD STE 450",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052686",
            "telephone_number": "959-203-9900",
            "fax_number": "888-290-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD STE 450",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052686",
            "telephone_number": "959-203-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Victoria St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060952218",
            "country_code": "US",
            "telephone_number": "959-203-9900",
            "fax_number": "888-290-2714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AYEPLACE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AYEPLACE LLC",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "BRENDETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "959-203-9900",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.