MEDICARE: SHATERA LANAY DANIEL LMSW

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	104100000X	Social Worker	29774	MD

General Provider Information

NPI Number	:	1891647848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHATERA LANAY DANIEL LMSW

Provider Business Mailing Address
First Line	:	8602 LUGANO RD
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-4414
Country	:	US
Telephone Number	:	443-622-2527
Fax Number	:

Provider Business Practice Location Address
First Line	:	9199 REISTERSTOWN RD STE 105B
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4513
Country	:	US
Telephone Number	:	410-989-9922
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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