Core Healing, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CORE HEALING, LLC

Practice address

14405 Laurel PL Ste 201
Laurel, MD 20707-6102

Phone

(410) 603-6124

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Candas Smith-Wallace, LCSW-CNPI 1194050898

Title

Owner

Phone

(410) 362-6713

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candas Smith-Wallace, LCSW-C

  • Clinical Social Worker
  • Towson, MD
  • NPI 1194050898

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1316554124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14405 LAUREL PL STE 201",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076102",
            "telephone_number": "410-603-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 LAUREL PL STE 201",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076102",
            "telephone_number": "410-603-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "SMITH-WALLACE",
        "authorized_official_first_name": "CANDAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-362-6713",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "corehealing01@gmail.com",
            "affiliation": "N",
            "address_1": "14405 Laurel Pl Ste 201",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207076102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Cooper-Grogans, SLP
• Julian Coppola-Zahavi
• Kathy Lynn Corbett, LGPC
• Sara Catherine Corcoran, LGCP
• Shalaiyah Cordoba, LCMFT
• Ngendap Tengen Coreen
• Karimah S Cornelius, M.A., LCPC
• Sabina F Coronado, PSY.D.
• Corridor Anesthesia, L.L.C.
• Brian Niall Corwell, M.D.

• All providers in Laurel, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.