Active NPI
Rooted in Healing LLC
- Clinical Social Worker
- Bowie, MD
National Provider Identifier
1336920909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ROOTED IN HEALING LLC
- Practice address
- 2205 Hyde LN
Bowie, MD 20716-1148 - Phone
- (240) 224-0588
- NPI assigned
- Oct 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyssa Louise McCall, LICSW
- Title
- Co-Owner
- Phone
- (240) 224-0588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2205 Hyde LN
Bowie, MD 20716-1148
Mailing address
921 H St NE # 7421
Washington, DC 20002-3741
National Provider Directory
National Provider DirectoryLocations
921 H St NE
Washington, DC 20002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Washington, DC
- NPI 1275137093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696896000000",
"number": "1336920909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 H ST NE # 7421",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 HYDE LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161148",
"telephone_number": "240-224-0588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED IN HEALING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A",
"authorized_official_last_name": "MCCALL",
"authorized_official_first_name": "ALYSSA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "240-224-0588",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.