Active NPI
Shanequa Perry, LMSW
- Social Worker
- Dundalk, MD
National Provider Identifier
1932820883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29075
- Practice address
- 1709 Holaview Rd
Dundalk, MD 21222 - Phone
- (443) 384-7927
- NPI assigned
- Sep 8, 2022
- Last updated
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 29075 | MD | Primary |
Addresses
Primary practice location
1709 Holaview Rd
Dundalk, MD 21222
Mailing address
70 Passaic Ave Apt 203
Kearny, NJ 07032-1165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29075 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1932820883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 PASSAIC AVE APT 203",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070321165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 HOLAVIEW RD",
"city": "DUNDALK",
"state": "MD",
"postal_code": "21222",
"telephone_number": "443-384-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "SHANEQUA",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.