Active NPI
Shayna Mayah Greenblatt
- Social Worker
- Columbia, MD
National Provider Identifier
1720629256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29197
- Practice address
- 8950 State Route 108 Ste 100
Columbia, MD 21045-2146 - Phone
- (410) 630-7140
- NPI assigned
- Oct 6, 2019
- Last updated
- Oct 6, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Social Worker | 104100000X | 29197 | MD | Primary |
Addresses
Primary practice location
8950 State Route 108 Ste 100
Columbia, MD 21045-2146
Mailing address
5820 York Rd Ste 202
Baltimore, MD 21212-3620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 N Charles St
Suite 808
Baltimore, MD 21201-5999
Phone (240) 898-1810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Practitioner on Call LLC | Current | Accepting new patients |
Locations
1800 N Charles St
Ste 804
Baltimore, MD 21201
Phone (240) 667-1679
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1992245559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1720629256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 YORK RD STE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 STATE ROUTE 108 STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452146",
"telephone_number": "410-630-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBLATT",
"first_name": "SHAYNA",
"middle_name": "MAYAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.