Shannon R. Jordan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50079110 Issued in DC

Practice address

6726A Industrial Dr
Beltsville, MD 20705-1237

Phone

(410) 756-0477

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon R. Shaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

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.

• Iheal Wellness Therapy and Consulting, LLC

  • Clinical Social Worker
  • Beltsville, MD
  • NPI 1639791114
  NPD Authorized official

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1891089470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 COLESVILLE RD STE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012457",
            "telephone_number": "410-756-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726A INDUSTRIAL DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051237",
            "telephone_number": "410-756-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHANNON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SHAW",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Jones
• Leayah Jones
• Stevie Jones
• Whitney Jones
• William Jones Jr.
• Joselito D. Magday, MD PA
• Oluwatobi Joseph
• Rujuta Joshi
• Marcos David Joya
• K Primary Health & Urgent Care LLC

• Clinical Social Worker in Beltsville, MD
• Providers in Beltsville, 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 Feb 20, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.