SHADOW WORK THERAPEUTICS, LLC
NPI 1194507202
Social Worker - Clinical in Manchester, MD

Active since October 16, 2023
19408 GUNPOWDER RD, MANCHESTER, MD 21102(443) 627-1687 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shadow Work Therapeutics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADOW WORK THERAPEUTICS, LLC (NPI 1194507202) is a healthcare organization registered as a clinical in Manchester, Maryland and active in the NPI registry since October 2023. The organization lists Mika Uematsu, Owner, as its authorized official.

NPPES Registry Identity

NPI1194507202
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHADOW WORK THERAPEUTICS, LLC
Location Address19408 GUNPOWDER RDManchester, MD 21102-2606
Mailing Address19408 Gunpowder RdManchester, MD 21102-2606 · (443) 627-1687
Organization SubpartNo
Authorized OfficialMika UematsuOwner · (443) 627-1687
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 15, 2023
NPI 1194507202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
19408 GUNPOWDER RD, Manchester, MD 21102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadow Work Therapeutics, LLC's NPI number?

The NPI number for Shadow Work Therapeutics, LLC is 1194507202. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Shadow Work Therapeutics, LLC located?

Shadow Work Therapeutics, LLC is located at 19408 Gunpowder Rd, Manchester, MD 21102. The listed phone number is (443) 627-1687.

What is Shadow Work Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shadow Work Therapeutics, LLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.