Provider Demographics
NPI:1841152873
Name:FLEMMINGS, SHOKITHA WASHINGTON
Entity type:Individual
Prefix:MS
First Name:SHOKITHA
Middle Name:WASHINGTON
Last Name:FLEMMINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 RIVERS EDGE TER
Mailing Address - Street 2:
Mailing Address - City:INDIAN HEAD
Mailing Address - State:MD
Mailing Address - Zip Code:20640-1561
Mailing Address - Country:US
Mailing Address - Phone:202-345-0619
Mailing Address - Fax:
Practice Address - Street 1:25 RIVERS EDGE TER
Practice Address - Street 2:
Practice Address - City:INDIAN HEAD
Practice Address - State:MD
Practice Address - Zip Code:20640-1561
Practice Address - Country:US
Practice Address - Phone:202-345-0619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-28
Last Update Date:2025-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst