SHANI CERRITOS (LCSW-C) – Social Worker, NPI 1043667264

SHANI CERRITOS (LCSW-C) is a healthcare provider. based in Boyds, Maryland. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW-C. They hold a License No. 18372 (MD). The NPI Number for SHANI CERRITOS (LCSW-C) is 1043667264

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANI CERRITOS (LCSW-C)
NPI
1043667264
Phone
(240) 720-7167
Address
17320 MOORE RD
Enumeration Date
17 May 2016
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2407506467
Graduation Year
2012 (14 years ago)
PAC ID
1759645856
Group Practice PAC ID
5395194302
Professional Enrollment ID
I20180425001717
Address ID
MD208503992RO9707XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

2,276 CLINICAL SOCIAL WORKER in MD

Provider Addresses for SHANI CERRITOS (LCSW-C)

  • 17320 MOORE RD

    BOYDS, MD 208419530

    Phone: (240) 720-7167

    Type: Mailing

  • 188 THOMAS JOHNSON DR STE 203

    FREDERICK, MD 217025122

    Phone: (240) 658-8825

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180425001717IClinical Social WorkerDCTBD
I20210504002486IClinical Social WorkerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20841)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395194302View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Clinical PsychologistMD
Nurse PractitionerMD
Clinical PsychologistMD
Mental Health CounselorMD
Mental Health CounselorMD
Clinical Social WorkerMD
Mental Health CounselorMD
Clinical Social WorkerMD
Mental Health CounselorMD

Reviews

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Frequently asked questions

Is there an official ID for SHANI CERRITOS (LCSW-C) in U.S. healthcare records?
The official identifier for SHANI CERRITOS (LCSW-C) is NPI 1043667264.
Is there an active status for SHANI CERRITOS (LCSW-C)?
For scheduling context, SHANI CERRITOS (LCSW-C) is shown as active in the registry.
What area of care is associated with SHANI CERRITOS (LCSW-C)?
SHANI CERRITOS (LCSW-C)'s record emphasizes Social Worker. Clinical services aligned with this taxonomy classification.
Is SHANI CERRITOS (LCSW-C) associated with Boyds?
Public fields place SHANI CERRITOS (LCSW-C) around Boyds, Maryland. Always confirm the exact site before visiting.
Can I trust this NPI listing for SHANI CERRITOS (LCSW-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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