Tracy Diamond-Cromwell, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07767 Issued in MD

Practice address

12107 Long Green Pike
Glen Arm, MD 21057-9200

Phone

(443) 200-4814

NPI assigned

Oct 23, 2015

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy Diamond Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Rosewater Wellness LLC

  • Clinical Social Worker
  • Glen Arm, MD
  • NPI 1013482900
  NPD Authorized official

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1205208741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 GLEN ARM RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579301",
            "telephone_number": "410-622-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12107 LONG GREEN PIKE",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579200",
            "telephone_number": "443-200-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Main St Rear Building",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211361252",
            "country_code": "US",
            "telephone_number": "443-712-7777 x6",
            "fax_number": "443-296-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 Harford Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Arm",
            "state": "MD",
            "postal_code": "210579230",
            "country_code": "US",
            "telephone_number": "443-200-4814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND-CROMWELL",
        "first_name": "TRACY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "DIAMOND",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Coates Freedom Minded Consulting Agency, LLC
• Shutic Coates, LCSW-C
• Hannah Connelly, OTR/L
• Samantha Cromwell, RD, LDN, CDCES
• Barrie Renee Davis, P.T.
• Kathleen Marie Eiseman-Brock, MSW, LCSW-C
• Seyedeh Pegah Ghiasi Afjeh
• Haystack Health and Wellness LLC
• Healthpro Heritage Rehab & Fitness, LLC
• Jayne Heck Hackley, MS, OTR/L

• Clinical Social Worker in Glen Arm, MD
• Providers in Glen Arm, 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 Jun 8, 2022; 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.