Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadow Work Therapeutics, LLC

Organization Clinical Social Worker · NPI 1194507202

Shadow Work Therapeutics, LLC is a Clinical Social Worker in Manchester, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19408 Gunpowder Rd
Manchester, MD 21102-2606
Phone: (443) 627-1687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1194507202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mika Uematsu — Owner · (443) 627-1687
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 15, 2023
Mailing address19408 Gunpowder Rd, Manchester, MD 21102-2606

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