Individual provider Active NPI

Shauna Leanne McGough I, M.S.W., L.G.S.W.

  • Social Worker
  • Elkton, MD
National Provider Identifier
1801286596
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
20062 Issued in MD
Practice address
121 Milhollan Dr
Elkton, MD 21921-6546
Phone
(443) 907-4797
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 20062 MD Primary

Addresses

Primary practice location

121 Milhollan Dr
Elkton, MD 21921-6546

Mailing address

121 Milhollan Dr
Elkton, MD 21921-6546
Phone (443) 907-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1801286596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MILHOLLAN DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216546",
            "telephone_number": "443-907-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MILHOLLAN DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216546",
            "telephone_number": "443-907-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "SHAUNA",
        "middle_name": "LEANNE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "M.S.W., L.G.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "20062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.