Individual provider Active NPI

Amy Lynn Shives, LCSW-C

  • Clinical Social Worker
  • Elkton, MD
National Provider Identifier
1992257687
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17883 Issued in MD
Practice address
111 E Main St Ste B
Elkton, MD 21921-5996
Phone
(434) 406-3234
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17883 MD Primary
Clinical Social Worker 1041C0700X Q1-0001386 DE

Addresses

Primary practice location

111 E Main St Ste B
Elkton, MD 21921-5996

Mailing address

185 Admiral Cochrane Dr Ste 120
Annapolis, MD 21401-7600
Phone (443) 440-5788

Other practice location 1

4755 Ogletown Stanton Rd Ste 1915
Newark, DE 19718-2200
Phone (302) 733-6662

Other identifiers 1

IdentifierTypeStateIssuer
203339900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20170619001362 MD Practitioner - Clinical Social Worker 4880962703 Reassigns benefits to 1 organization
Practice locations: North East, MD
I20260601002437 DE Practitioner - Clinical Social Worker 4880962703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Project Chesapeake, LLCGroup PAC ID 2769603034, 18 clinicians

Practice addresses (Care Compare)

111 E Main St
Suite B
Elkton, MD 21921-5996
Phone (443) 406-3234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001386DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Project Chesapeake, LLC CurrentSince Nov 25, 2019 Accepting new patients
Project Chesapeake, LLC CurrentSince Nov 25, 2019 Accepting new patients
Pathways 4 Mental Health Monarch Past Accepting new patients

Locations

185 Admiral Cochrane Dr
Ste 120
Annapolis, MD 21401

108 Old Solomons Island Rd
Ste A
Annapolis, MD 21401
Phone (410) 266-5054

111 E Main St
Ste B
Elkton, MD 21921
Phone (443) 306-1791

26845 Point Lookout Rd
Ste 1
Leonardtown, MD 20650
Phone (240) 309-4015

Organizations & group practices 4

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1992257687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ADMIRAL COCHRANE DR STE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017600",
            "telephone_number": "443-440-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST STE B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215996",
            "telephone_number": "434-406-3234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd Ste 1915",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-6662",
            "fax_number": "302-733-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVES",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17883",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203339900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.