Liberty Nebel Ravenwood, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29652 Issued in MD

Practice address

102 6TH Ave NE Ste B
Glen Burnie, MD 21060-6869

Phone

(410) 320-9967

NPI assigned

Feb 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1255896452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 6TH AVE NE STE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 6TH AVE NE STE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606869",
            "telephone_number": "410-320-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENWOOD",
        "first_name": "LIBERTY",
        "middle_name": "NEBEL",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "1884",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvacion Dupaya Ramirez, MD
• Melinda Ramsey
• Lisa Randolph, PA-C
• Meeta Samant Rankin, PHARM.D.
• Ram Kumar Rastogi, MD
• Amy E Recce, DC
• Anthony J Recce Jr., DC
• Recovercare LLC
• Recovery Resources Group
• Recoveryrx LLC

• Clinical Social Worker in Glen Burnie, MD
• Providers in Glen Burnie, 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 Oct 6, 2024; 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.