Individual provider Active NPI

Shao J Liu Epstein, LCSW-C

  • Clinical Social Worker
  • Germantown, MD
National Provider Identifier
1992064240
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15402 Issued in MD
Practice address
11124 Sceptre Ridge Ter
Germantown, MD 20876-6342
Phone
(301) 674-7442
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15402 MD Primary

Addresses

Primary practice location

11124 Sceptre Ridge Ter
Germantown, MD 20876-6342

Mailing address

11124 Sceptre Ridge Ter
Germantown, MD 20876-6342
Phone (703) 869-3196

Other practice location 1

847 Quince Orchard Blvd Ste E
Gaithersburg, MD 20878-1677
Phone (301) 674-7442

Other identifiers 1

IdentifierTypeStateIssuer
05306MedicaidMD

Other names 1

  • Shao Ju Liu Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address juliu@childparentconnection.com
Direct Messaging Address juliu@childparentconnection.com

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child Parent Connection LLC Clinical CurrentSince Jan 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1992064240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 SCEPTRE RIDGE TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766342",
            "telephone_number": "703-869-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 SCEPTRE RIDGE TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766342",
            "telephone_number": "301-674-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "847 Quince Orchard Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208781677",
            "country_code": "US",
            "telephone_number": "301-674-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU EPSTEIN",
        "first_name": "SHAO",
        "middle_name": "J",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05306",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliu@childparentconnection.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "847 Quince Orchard Blvd Ste E",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208781677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliu@childparentconnection.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "11124 Sceptre Ridge Ter",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208766342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAO",
            "last_name": "LIU",
            "middle_name": "JU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.