Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADIASE JACK
Active Sole ProprietorSHADIASE JACK is a Social Worker healthcare provider located in LEONARDTOWN, Maryland. NPI 1609299353 is currently active in the NPPES registry. Verify at CMS.
Social Worker · LEONARDTOWN, MD
Registration Details
- NPI Number
- 1609299353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2014 (12.493863846895 yrs)
- Last Updated
- Jan 31, 2014
- License
-
19632 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
41900 FENWICK STLEONARDTOWN, MD, 206503814Browse MD providers · Browse ZIP 20650
- Phone
- 3014758860
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in LEONARDTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| MELANIE B. LEDIG | LCSW-C | 1245346766 |
| PAUL V. RICHARD | LCSW-C | 1891801304 |
| MS. DEBORAH ANN DULEY | LGSW | 1497092605 |
| JASMINE FLEWELLEN | LGSW | 1366982605 |
| ALEXANDRIA RIGBY | — | 1295232536 |
| JENNIFER LAURA GUY | — | 1316439219 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.