Shannon Lynn Baublitz-Smith, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15676 Issued in MD

Practice address

102 E Cecil Ave
Suite D
North East, MD 21901-4057

Phone

(443) 207-1813

NPI assigned

Feb 24, 2012

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Noleksmar Ventures LLC

  dba Pathways 4 Mental Health

  • Clinical Social Worker
  • Port Deposit, MD
  • NPI 1770901555
  Authorized official Same address or phone

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1811261720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DRIER LN",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219042010",
            "telephone_number": "575-740-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E CECIL AVE",
            "address_2": "SUITE D",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219014057",
            "telephone_number": "443-207-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUBLITZ-SMITH",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0206",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ati Holding LLC (ATI Physical Therapy)
• Ati Holdings, LLC (ATI Physical Therapy North East)
• Marlene King Backert, LCPC
• Kathryn Elizabeth Bageant
• Abigail Joy Baldwin, PT
• Best Medical LLC
• Heather McCoy Blackiston, DC
• Jane Atkinson Bower
• Danielle Bryant, ATC, LAT
• Jeremy Paul Bunty

• Clinical Social Worker in North East, MD
• Providers in North East, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.