MEDICARE: SHANEIKA CORANADA LOVELACE LCPC

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	101YP2500X	Professional Counselor	LC3595	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518259761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANEIKA CORANADA LOVELACE LCPC

Provider Business Mailing Address
First Line	:	18 ARROWOOD CT
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-3868
Country	:	US
Telephone Number	:	443-418-8707
Fax Number	:	443-442-1569

Provider Business Practice Location Address
First Line	:	900A S MAIN ST # 105
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-5438
Country	:	US
Telephone Number	:	410-914-4012
Fax Number	:	410-914-4014

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

Provider Enumeration Date	:	05/06/2011
Last Update Date	:	01/20/2026

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