NPIMap

Organization Active NPI

Mahogany Wellness Center LLC

  • Clinical Social Worker
  • Odenton, MD
National Provider Identifier
1093408452
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAHOGANY WELLNESS CENTER LLC
Practice address
8777 Piney Orchard Pkwy # B172
Odenton, MD 21113-2382
Phone
(443) 599-9401
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Alicia Joseph Baker, LCSW-C
Title
Clinical Social Worker
Phone
(443) 599-9401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

8777 Piney Orchard Pkwy # B172
Odenton, MD 21113-2382

Mailing address

8777 Piney Orchard Pkwy # B172
Odenton, MD 21113-2382
Phone (443) 599-9401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1093408452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 PINEY ORCHARD PKWY # B172",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132382",
            "telephone_number": "443-599-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 PINEY ORCHARD PKWY # B172",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132382",
            "telephone_number": "443-599-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "JOSEPH BAKER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "443-599-9401",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.