Individual provider Active NPI

Vivien Mary Buvawala

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1366095952
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27266 Issued in MD
Practice address
109 Scott St
Baltimore, MD 21201-1033
Phone
(240) 370-8820
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Social Worker 104100000X 27266 MD Primary

Addresses

Primary practice location

109 Scott St
Baltimore, MD 21201-1033

Mailing address

109 Scott St
Baltimore, MD 21201-1033
Phone (240) 370-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615000394 MD Practitioner - Clinical Social Worker 6103284609 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Suite 409
Baltimore, MD 21202-2102
Phone (443) 449-5604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Menocal Medical Services PA Current Accepting new patients
Maryland Wellness and Recovery, LLC CurrentSince Mar 7, 2025 Accepting new patients
Privia Care Center LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 29, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Mar 24, 2024 Accepting new patients
Maryland Wellness and Recovery, LLC CurrentSince Mar 7, 2025 Accepting new patients
Rosie'S Recovery Center, LLC CurrentSince Dec 22, 2023 Accepting new patients
Rosie'S Recovery Center, LLC CurrentSince Dec 22, 2023 Accepting new patients
Maryland Wellness and Recovery, LLC CurrentSince Mar 7, 2025 Accepting new patients
Possible Rays Wellness, LLC Current Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

43 Summit Ave
Hagerstown, MD 21740

8109 Harford Rd
Ste B
Parkville, MD 21234
Phone (410) 661-2132

11125 Rockville Pike
Ste 302
Rockville, MD 20852
Phone (301) 770-5300

11125 Rockville Pike
Ste 306
Rockville, MD 20852
Phone (240) 240-4225

16 Greenmeadow Dr
Ste 302
Timonium, MD 21093
Phone (443) 449-5604

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1366095952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SCOTT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011033",
            "telephone_number": "240-370-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SCOTT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011033",
            "telephone_number": "240-370-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUVAWALA",
        "first_name": "VIVIEN",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.