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

Last updated

Jun 8, 2022By the provider in NPPES

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, and the practitioner matching its NPPES authorized official.

• Tracy Diamond-Cromwell, LCSW-C

  • Clinical Social Worker
  • Glen Arm, MD
  • NPI 1205208741
  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": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Swinson, OTR/L
• Taylor Szamski

• Clinical Social Worker in Glen Arm, MD
• Providers in Glen Arm, MD by specialty
• 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.