Shiretta Warren, - Medicare Clinical Social Worker in Crofton, MD

Shiretta Warren, is a medicare enrolled "Social Worker - Clinical" provider in Crofton, Maryland. Her current practice location is 2142 Priest Bridge Ct Ste 1, Crofton, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 721-2835.

Shiretta Warren is licensed to practice in Maryland (license number 12965) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407209968.

Contact Information

Shiretta Warren,
2142 Priest Bridge Ct Ste 1,
Crofton, MD 21114-2545
(410) 721-2835
(410) 721-5523



Healthcare Provider's Profile

Full NameShiretta Warren
GenderFemale
SpecialitySocial Worker - Clinical
Location2142 Priest Bridge Ct Ste 1, Crofton, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407209968
  • Provider Enumeration Date: 07/20/2016
  • Last Update Date: 01/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274987847
  • Enrollment ID: I20230930000212

Medical Identifiers

Medical identifiers for Shiretta Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407209968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 12965 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shiretta Warren allows following entities to bill medicare on her behalf.
Entity NameQci Behavioral Health Consulting Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154598308
PECOS PAC ID: 3971665969
Enrollment ID: O20090218000080

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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. Shiretta Warren 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 AddressPractice Location Address
Shiretta Warren,
3950 Prickly St,
Waldorf, MD 20603-5731

Ph: (240) 565-5885
Shiretta Warren,
2142 Priest Bridge Ct Ste 1,
Crofton, MD 21114-2545

Ph: (410) 721-2835

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Social Worker in Crofton, MD

Mrs. Helen Bianca, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2134 Espey Ct, Suite 3, Crofton, MD 21114
Phone: 301-261-6966    Fax: 301-261-0963
Colleen Blackston, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1664b Village Grn, Crofton, MD 21114
Phone: 240-383-5294    
Brooke Harris,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2302 Kezey Ct, Crofton, MD 21114
Phone: 240-718-4880    
Olubunmi Akinkuowo,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2142 Priest Bridge Ct Ste 1, Crofton, MD 21114
Phone: 410-721-2835    Fax: 410-721-5523
Ms. Barbara Galuska, LCSW-C
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2110 Priest Bridge Dr Ste 4, Crofton, MD 21114
Phone: 301-953-0962    Fax: 301-953-0962
Dr. Marian Dohoney Kaufman, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2134 Espey Ct, Suite 3, Crofton, MD 21114
Phone: 301-261-6966    Fax: 301-261-0963
Doncella Frances Hampton, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1630 Grason Ln, Crofton, MD 21114
Phone: 301-706-7878    

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