Organization Active NPI

Rolling Waves Counseling, LLC

  • Clinical Social Worker
  • Ellicott City, MD
National Provider Identifier
1174031777
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12946 Issued in MD
Legal business name
ROLLING WAVES COUNSELING, LLC
Practice address
8370 Court Ave Ste 201
Ellicott City, MD 21043-4689
Phone
(703) 582-5349
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Sarah Boucher Sommers, LCSW-CNPI 1235161720
Title
Owner
Phone
(703) 582-5349

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12946 MD Primary

Addresses

Primary practice location

8370 Court Ave Ste 201
Ellicott City, MD 21043-4689

Mailing address

4018 Crescent Rd
Ellicott City, MD 21042-5306

National Provider Directory

National Provider Directory

Locations

8370 Court Ave
Ste 201
Ellicott City, MD 21043
Phone (443) 672-5122

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": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1174031777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 CRESCENT RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 COURT AVE STE 201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434689",
            "telephone_number": "703-582-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING WAVES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "SOMMERS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BOUCHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-582-5349",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.