Healthcare Provider Details

I. General information

NPI: 1265837835
Provider Name (Legal Business Name): SHEILA A SOMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 03/15/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10424 FLORAL DR 10424 FLORAL DRIVE
ADELPHI MD
20783-1226
US

IV. Provider business mailing address

3410 DODGE PARK RD APT T3
HYATTSVILLE MD
20785-2023
US

V. Phone/Fax

Practice location:
  • Phone: 240-615-6011
  • Fax:
Mailing address:
  • Phone: 240-615-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200004522
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: