Organization Active NPI

Living Well Matters, LLC.

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1104207836
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12392 Issued in MD
Legal business name
LIVING WELL MATTERS, LLC.
Practice address
512 Orchard St
Baltimore, MD 21201-1947
Phone
(443) 845-3514
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Monifa S Jeffrey-Riggins, LCSWCNPI 1164703146
Title
Provider/ Owner
Phone
(443) 845-3514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 12392 MD Primary

Addresses

Primary practice location

512 Orchard St
Baltimore, MD 21201-1947

Mailing address

5730 Cottonworth Ave
Unit 5389
Baltimore, MD 21209-7500
Phone (443) 845-3514

National Provider Directory

National Provider Directory

Locations

5730 Cottonworth Ave
Unit 5389
Baltimore, MD 21209

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1104207836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 COTTONWORTH AVE",
            "address_2": "UNIT 5389",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212097500",
            "telephone_number": "443-845-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 ORCHARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011947",
            "telephone_number": "443-845-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL MATTERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "JEFFREY-RIGGINS",
        "authorized_official_first_name": "MONIFA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER/ OWNER",
        "authorized_official_telephone_number": "443-845-3514",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.