Shakeria Monae' Hall-McGronan, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25314 Issued in MD

Practice address

5410 Lynx LN Ste 285
Columbia, MD 21044-2483

Phone

(617) 379-0496

NPI assigned

Mar 5, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1952936304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 BENSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271005",
            "telephone_number": "205-792-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 LYNX LN STE 285",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442483",
            "telephone_number": "617-379-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-MCGRONAN",
        "first_name": "SHAKERIA",
        "middle_name": "MONAE'",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halcyon Clinical Services, LLC
• Dominique Nichole Hale
• Hunter Hale
• Katherine Hales, M.ED., NCC, LGPC
• Mercedes Alicia Halford
• Jermonda L Hall
• Kelly Alexandra Hall, LMSW
• Kiera Hall
• Lahaina Hall, M.D.
• Rosangele Hall

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, 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 Jul 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.