Nourishing Roots Comprehensive Family Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NOURISHING ROOTS COMPREHENSIVE FAMILY SERVICES LLC

Practice address

4929 Klee Mill Rd S
Sykesville, MD 21784-9224

Phone

(434) 360-5350

NPI assigned

Aug 17, 2024

Organization subpart

No

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

Authorized official

Name

Shannon Sammis, LCSW-CNPI 1265000343

Title

Mental Health Therapist

Phone

(443) 360-5350

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Sammis, MSW

  • Social Worker
  • Columbia, MD
  • NPI 1265000343
  NPD Authorized official

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723852800000",
    "number": "1356173348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 KLEE MILL RD S",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849224",
            "telephone_number": "434-360-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 KLEE MILL RD S",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849224",
            "telephone_number": "434-360-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING ROOTS COMPREHENSIVE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "SAMMIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "443-360-5350",
        "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": [],
    "other_names": []
}

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• Clinical Social Worker in Sykesville, MD
• Providers in Sykesville, 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 Aug 17, 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.