Shatiea Blount, LCSW-C, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15834 Issued in MD

Practice address

5557 Baltimore Ave Ste 500-118
Hyattsville, MD 20781-1922

Phone

(202) 656-3064

NPI assigned

Aug 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye in Me, LLC

  • Mental Health Counselor
  • Hyattsville, MD
  • NPI 1033708144

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1811364920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 BALTIMORE AVE STE 500-118",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811922",
            "telephone_number": "202-656-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5557 BALTIMORE AVE STE 500-118",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811922",
            "telephone_number": "202-656-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Perry St",
            "address_purpose": "LOCATION",
            "city": "Mount Rainier",
            "state": "MD",
            "postal_code": "207122141",
            "country_code": "US",
            "telephone_number": "202-656-3064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "SHATIEA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079306",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willieth Tasojah Bisanga
• Naomi Joan Abongwa Biyong
• Charmane Blalock
• Blessing Medical Center
• Zuri Amir Blount-Tate, LMSW
• BLS Diagnostics LLC
• Blue Vision Healthcare Solutions
• Lucy Yawovi Boateng
• Syxtus Bokwe
• Wendy Bonilla

• Clinical Social Worker in Hyattsville, MD
• Providers in Hyattsville, 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 31, 2019; 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.