Active NPI
Awaken the Spirit LLC
- Clinical Social Worker
- Catonsville, MD
National Provider Identifier
1124492665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09177
- Legal business name
- AWAKEN THE SPIRIT LLC
- Practice address
- 9 Newburg Ave Ste 100
Catonsville, MD 21228-5168 - Phone
- (410) 747-9743
- Fax
- (410) 747-9910
- NPI assigned
- Nov 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl A Depetro
- Title
- Managing Director
- Phone
- (410) 747-9743
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09177 | MD | Primary |
| Acupuncturist | 171100000X | U01507 | MD |
Addresses
Primary practice location
9 Newburg Ave Ste 100
Catonsville, MD 21228-5168
Mailing address
9 Newburg Ave Ste 100
Catonsville, MD 21228-5168
Phone (410) 747-9743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149702200 | Medicaid | MD | |
| 929R | Other | MD | MEDICARE |
Other names 1
- Awaken The Spirit Wellness Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sheridep@verizon.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9 Newburg Ave
Ste 100
Catonsville, MD 21228
Phone (410) 747-9743
606 Edmondson Ave
Ste 201
Catonsville, MD 21228
Phone (410) 215-3602
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Catonsville, MD
- NPI 1023191418
-
- Clinical Social Worker
- Millersville, MD
- NPI 1932572963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1124492665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 NEWBURG AVE STE 100",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212285168",
"telephone_number": "410-747-9743",
"fax_number": "410-747-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 NEWBURG AVE STE 100",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212285168",
"telephone_number": "410-747-9743",
"fax_number": "410-747-9910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWAKEN THE SPIRIT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-20",
"last_updated": "2025-09-02",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "DEPETRO",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "410-747-9743"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "09177",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01507",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149702200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "929R",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sheridep@verizon.net",
"affiliation": "N",
"endpointDescription": "Practice email",
"address_1": "9 Newburg Ave Ste 100",
"city": "Catonsville",
"state": "MD",
"country_code": "US",
"postal_code": "212285168",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Awaken The Spirit Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.