Active NPI
Martia Cordell, MSW, LGSW
- Social Worker
- Upper Marlboro, MD
National Provider Identifier
1962143701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG50083356
- Practice address
- 7105 Shield CT
Upper Marlboro, MD 20772-4334 - Phone
- (757) 879-4743
- NPI assigned
- Apr 5, 2022
- Last updated
- Apr 5, 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 | LG50083356 | DC | Primary |
Addresses
Primary practice location
7105 Shield CT
Upper Marlboro, MD 20772-4334
Mailing address
7105 Shield CT
Upper Marlboro, MD 20772-4334
Phone (757) 879-4743
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 |
|---|---|---|---|
| LG50083356 | DC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1962143701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7105 SHIELD CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724334",
"telephone_number": "757-879-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7105 SHIELD CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724334",
"telephone_number": "757-879-4743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDELL",
"first_name": "MARTIA",
"credential": "MSW, LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG50083356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.