Individual provider Active NPI

Shannon Lea Miller, LCSW-C

  • Clinical Social Worker
  • Catonsville, MD
National Provider Identifier
1922599984
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15757 Issued in MD
Practice address
6121 Northdale Rd
Catonsville, MD 21228-1803
Phone
(443) 745-0937
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15757 MD Primary

Addresses

Primary practice location

6121 Northdale Rd
Catonsville, MD 21228-1803

Mailing address

6121 Northdale Rd
Catonsville, MD 21228-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180621001195 MD Practitioner - Clinical Social Worker 9931454659 Reassigns benefits to 1 organization
I20210203001033 DC Practitioner - Clinical Social Worker 9931454659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care Chesapeake LLCGroup PAC ID 0042578171, 9 clinicians

Practice addresses (Care Compare)

108 Old Solomons Island Rd
Suite U5
Annapolis, MD 21401-3848
Phone (410) 893-4600

5730 Executive Dr
Catonsville, MD 21228-1762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Erickson Health Medical Group of Maryland PC CurrentSince Dec 1, 2020 Accepting new patients
Erickson Health Medical Group of Maryland PC CurrentSince Jun 11, 2018 Accepting new patients
Erickson Health Medical Group of Maryland PC CurrentSince Jun 11, 2018 Accepting new patients
Safe Harbor Behavioral Care Chesapeake LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Erickson Health Medical Group of Maryland PC Current Accepting new patients

Locations

2629 Riva Rd
Ste 112
Annapolis, MD 21401
Phone (410) 266-1000

108 Old Solomons Island Rd
Ste U5
Annapolis, MD 21401

711 Maiden Choice Ln
Catonsville, MD 21228
Phone (410) 247-5602

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

3110 Gracefield Rd
Silver Spring, MD 20904
Phone (301) 572-8340

Organizations & group practices 6

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1922599984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 NORTHDALE RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 NORTHDALE RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281803",
            "telephone_number": "443-745-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHANNON",
        "middle_name": "LEA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.