Reginald Harrison Shockley Sr, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Salisbury, Maryland. His current practice location is
106 Milford St Ste 201, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 334-6961.
Reginald Harrison Shockley Sr is licensed to practice in Maryland (license number 24065) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619046919.
Healthcare Provider's Profile
Full Name | Reginald Harrison Shockley Sr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 106 Milford St Ste 201, Salisbury, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Reginald Harrison Shockley Sr attended and graduated from in
NPI Data:
- NPI Number: 1619046919
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/24/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Reginald Harrison Shockley Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619046919 | NPI | - | NPPES |
517251 | Other | | UHC MAMSI GROUP # |
LM49EA | Other | MD | CAREFIRST BCBS GROUP |
R968 | Other | | CAREFIRST FEDERAL GROUP |
609550001 | Medicaid | MD | |
259147000 | Other | MD | MAGELLAN GROUP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 24065 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Reginald Harrison Shockley Sr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Reginald Harrison Shockley Sr, LCSW-C 34462 Fox Hound Ct, Parsonsburg, MD 21849-2676 Ph: (443) 614-5360 | Reginald Harrison Shockley Sr, LCSW-C 106 Milford St Ste 201, Salisbury, MD 21804 Ph: (410) 334-6961 |
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