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NPI Code Detail

MEDICARE: MRS. SHANNON HODGINS

MEDICARE:  MRS. SHANNON  HODGINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker13014MD

General Provider Information

NPI Number : 1750688669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON HODGINS
Provider Business Mailing Address
First Line : 7474 GREENWAY CENTER DR
Second Line : SUITE 730
City : GREENBELT
State : MD
Zip : 20770-3504
Country : US
Telephone Number : 301-345-1022
Fax Number : 301-560-5558
Provider Business Practice Location Address
First Line : 1003 W 7TH ST
Second Line : SUITE 500
City : FREDERICK
State : MD
Zip : 21701-4106
Country : US
Telephone Number : 301-345-1022
Fax Number : 301-560-5558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2011
Last Update Date : 06/24/2016

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Directions to “ MRS. SHANNON HODGINS ” Practice Location

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