Reiko Shingu, LCSWC
Individual provider Active NPI Social Worker · Cabin John, MD
NPI 1962635599 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1962635599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 14912 (MD)
- Practice address
- 6506 79TH PL
Cabin John, MD 20818-1207 - Phone
- (202) 460-6272
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14912 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14912 | MD | Yes |
Addresses
Primary practice location
6506 79TH PL
Cabin John, MD 20818-1207
Mailing address
6506 79TH PL
Cabin John, MD 20818-1207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816700100 | Medicaid | MD |
Other providers in Cabin John, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.