Rosewater Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROSEWATER WELLNESS LLC

Practice address

12107 Long Green Pike
Glen Arm, MD 21057-9200

Phone

(410) 622-2822

NPI assigned

Oct 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Diamond-Cromwell, LCSWCNPI 1205208741

Title

Owner

Phone

(410) 622-2822

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Diamond-Cromwell, LCSW-C

  • Clinical Social Worker
  • Glen Arm, MD
  • NPI 1205208741

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1013482900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 GLEN ARM RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579301",
            "telephone_number": "410-622-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12107 LONG GREEN PIKE",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579200",
            "telephone_number": "410-622-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Harford Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Arm",
            "state": "MD",
            "postal_code": "210579230",
            "country_code": "US",
            "telephone_number": "443-200-4814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSEWATER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "DIAMOND-CROMWELL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-622-2822",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica J Rilee, OTD, OTR/L
• Edgar L Robbins, MD
• Rebecca Rohrback
• Rose of Sharon Equestrian School, Inc.
• Rose of Sharon Equestrian School, Inc.
• Cara Shipley, RD
• Stable Minds LLC
• Gwendolyn Sutton
• Kathryn Swinson, OTR/L
• Taylor Szamski

• All providers in Glen Arm, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.