Taavon Bazemore Jr., LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18084 Issued in MD

Practice address

421 Fallsway
Baltimore, MD 21202-4800

Phone

(443) 703-1196

NPI assigned

Sep 23, 2014

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Care for the Homeless, Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1003819665
  Medicare reassignment NPD
• Health Care for the Homeless, Inc

  dba HCH Baltimore County

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1104150754
  NPD

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1174925036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 LAKEVIEW AVE APT 3C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174709",
            "telephone_number": "443-962-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FALLSWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024800",
            "telephone_number": "443-703-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZEMORE",
        "first_name": "TAAVON",
        "name_suffix": "Jr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abhishek Bazaz
• Maiya Chrystina Bazel, RN, BSN
• Carol Martin Bazell, M.D., M.P.H.
• Jatae Bazemore
• Sharron Bazemore
• Kinza Bazigh, M.D
• Jasmine Bazinet Phillips, MD
• Soha Bazyar, MD, PHD
• BC Services
• BC Services (Clear Horizons)

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.