Individual provider Active NPI

Shontel Gaskin, LCSW-C

  • Social Worker
  • Annapolis, MD
National Provider Identifier
1942828082
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22638 Issued in MD
Practice address
1831 Forest Dr Ste a
Annapolis, MD 21401-4430
Phone
(443) 465-1901
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22638 MD Primary

Addresses

Primary practice location

1831 Forest Dr Ste a
Annapolis, MD 21401-4430

Mailing address

9808 Southall Rd
Randallstown, MD 21133-2014
Phone (443) 465-1901

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
I20210318000949 MD Practitioner - Clinical Social Worker 3072920099 Reassigns benefits to 5 organizations
I20210729000252 DC Practitioner - Clinical Social Worker 3072920099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salus Health Inc.Group PAC ID 8123436540, 13 clinicians
True Life ChangeGroup PAC ID 1759774128, 4 clinicians

Practice addresses (Care Compare)

1020 Saint Paul St
Baltimore, MD 21202-2606
Phone (410) 529-0348

5100 Buckeystown Pike
Suite 250
Frederick, MD 21704-8344
Phone (410) 417-7556

5457 Twin Knolls Rd
Suite 300
Columbia, MD 21045-3296
Phone (301) 338-8933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22638MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Salus Health Inc CurrentSince May 3, 2021 Accepting new patients
True Life Change CurrentSince May 27, 2022 Accepting new patients
Psychogeriatric Services LLC CurrentSince Jul 14, 2021 Accepting new patients
Psych Associates of Maryland LLC Social Worker CurrentSince Mar 9, 2021 Accepting new patients
The Transition Care Network LLC CurrentSince Nov 7, 2023 Accepting new patients

Locations

1831 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 268-9400

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

5457 Twin Knolls Rd
Ste 300
Columbia, MD 21045
Phone (410) 696-5142

5100 Buckeystown Pike
Ste 250
Frederick, MD 21704
Phone (301) 321-8245

5100 Buckeystown Pike
Frederick, MD 21704
Phone (301) 321-8245

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1942828082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 SOUTHALL RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332014",
            "telephone_number": "443-465-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 FOREST DR STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014430",
            "telephone_number": "443-465-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN",
        "first_name": "SHONTEL",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.