Individual provider Active NPI

Ki'Asha Shantel Sanders

  • Social Worker
  • Lanham, MD
National Provider Identifier
1801568688
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27844 Issued in MD
Practice address
10130 Annapolis Rd
Lanham, MD 20706-2015
Phone
(301) 602-3925
NPI assigned
Sep 30, 2021
Last updated
Jun 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG200001536 DC
Social Worker 104100000X 27844 MD Primary

Addresses

Primary practice location

10130 Annapolis Rd
Lanham, MD 20706-2015

Mailing address

10130 Annapolis Rd
Lanham, MD 20706-2015
Phone (301) 602-3925

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208000940 MD Practitioner - Clinical Social Worker 1456840990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

306 W Redwood St
Baltimore, MD 21201-1708
Phone (301) 323-8437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG200001536DCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Celestial Hope Rising Services VA, LLC Social Worker CurrentSince Aug 26, 2025 Accepting new patients
Celestial Hope Rising Services VA, LLC Social Worker CurrentSince Feb 18, 2024 Accepting new patients

Locations

306 W Redwood St
Baltimore, MD 21201
Phone (301) 323-8437

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1801568688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 ANNAPOLIS RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062015",
            "telephone_number": "301-602-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 ANNAPOLIS RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062015",
            "telephone_number": "301-602-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KI'ASHA",
        "middle_name": "SHANTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200001536",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.