MEDICARE: MRS. ENIDSIA SHEILA DARBY-GILL

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
1	171M00000X	Case Manager/Care Coordinator	000000000	DC
2	171W00000X	Contractor
3	1041C0700X	Clinical Social Worker	LG200004467	DC

General Provider Information

NPI Number	:	1093404782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ENIDSIA SHEILA DARBY-GILL

Provider Business Mailing Address
First Line	:	5745 E BONIWOOD TURN
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-4153
Country	:	US
Telephone Number	:	120-253-4898
Fax Number	:

Provider Business Practice Location Address
First Line	:	5745 E BONIWOOD TURN
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-4153
Country	:	US
Telephone Number	:	120-253-4898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	03/17/2026

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