Actively Aging to Perfection LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ACTIVELY AGING TO PERFECTION LLC

Practice address

4709 Harford Road
Suite a, 2ND FL #11
Baltimore, MD 21214-3261

Phone

(410) 648-9707

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Merissa Brown

Title

Manager

Phone

(443) 470-9998

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607212800000",
    "number": "1285269993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 HARFORD ROAD",
            "address_2": "SUITE A, 2ND FL #11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143261",
            "telephone_number": "410-648-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 HARFORD ROAD",
            "address_2": "SUITE A, 2ND FL #11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143261",
            "telephone_number": "410-648-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVELY AGING TO PERFECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MERISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-470-9998"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Activate Body Potential, Inc.
• Active 360 Therapy
• Active Day MD, Inc.
• Active Day MD, Inc.
• Active Quality Care Inc
• Activus Technologies Corporation
• Adachi Medical Associates, P.a.
• David Philip Adam, PHD
• Shahla R Adam, LCSW-C
• Luigi Adamo, MD

• 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 Dec 6, 2020; 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.