Individual provider Active NPI

Roshell Denise Aydlett, LMSW

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1184200941
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26840 Issued in MD
Practice address
6615 Reisterstown Rd Ste 203
Baltimore, MD 21215-2686
Phone
(240) 316-1461
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26840 MD Primary

Addresses

Primary practice location

6615 Reisterstown Rd Ste 203
Baltimore, MD 21215-2686

Mailing address

2626 Canterbury Rd
Parkville, MD 21234-7009
Phone (443) 324-0715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26840MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transcending Boundaries, LLC Social Worker CurrentSince May 9, 2021 Accepting new patients

Locations

6615 Reisterstown Rd
Ste 203
Baltimore, MD 21215
Phone (240) 316-1461

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1184200941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 CANTERBURY RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212347009",
            "telephone_number": "443-324-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "240-316-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYDLETT",
        "first_name": "ROSHELL",
        "middle_name": "DENISE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.