One Source Wellness Works LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ONE SOURCE WELLNESS WORKS LLC

Practice address

22 W Pennsylvania Ave
Towson, MD 21204-5017

Phone

(667) 229-5959

Fax

(667) 229-5957

NPI assigned

Jul 5, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene Dockins, M.ED

Title

Ceo

Phone

(667) 229-5959

Specialties & licenses 1

Addresses

Tax ID family

One Source Wellness Works LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• One Source Wellness Works LLC

  • Clinical Social Worker
  • Towson, MD
  • NPI 1851033740
  NPD tax ID

Locations

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1104559582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PENNSYLVANIA AVE STE 410",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045017",
            "telephone_number": "667-229-5959",
            "fax_number": "667-229-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PENNSYLVANIA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045017",
            "telephone_number": "667-229-5959",
            "fax_number": "667-229-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE WELLNESS WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "DOCKINS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "667-229-5959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Omoniyi
• Ayodeji Joshua Omosule, MBBS, MHA
• Enid Oncena, OTR/L
• Mary Onderdonk, DNP, CRNP
• One of a Kind Child and Adolescent Psychotherapy, LLC
• One Source Wellness Works LLC
• Barbara Oneal
• Onsite Innovations LLC
• Hailey Onsted
• Nneka Immaculate Onuorah

• Community/Behavioral Health Agency in Towson, MD
• Providers in Towson, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.