Organization Active NPI

Beauty in Bloom Therapy, LLC

  • Clinical Social Worker
  • Bryans Road, MD
National Provider Identifier
1104778166
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEAUTY IN BLOOM THERAPY, LLC
Practice address
6960 Indian Head Hwy Unit 121
Bryans Road, MD 20616-7506
Phone
(240) 416-9237
NPI assigned
Feb 12, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Shawntae Chase, LCSW-CNPI 1750695573
Title
Owner
Phone
(240) 416-9237

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

6960 Indian Head Hwy
Unit 121
Bryans Road, MD 20616
Phone (240) 416-9237

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

6960 Indian Head Hwy Unit 121
Bryans Road, MD 20616-7506

Mailing address

6960 Indian Head Hwy Unit 121
Bryans Road, MD 20616-7506
Phone (240) 416-9237

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2026.

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1104778166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 INDIAN HEAD HWY UNIT 121",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206167506",
            "telephone_number": "240-416-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 INDIAN HEAD HWY UNIT 121",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206167506",
            "telephone_number": "240-416-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY IN BLOOM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "SHAWNTAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-416-9237",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryans Road, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.