Ebony Grace Wellness, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EBONY GRACE WELLNESS, LLC.

Practice address

224 Phillip Morris Dr Ste 204B
Salisbury, MD 21804-2000

Phone

(443) 860-7795

NPI assigned

Oct 20, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Tineka Chantey Harmon, LCSW-CNPI 1053063065

Title

Owner/Operator

Phone

(301) 524-3617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Tineka Harmon, LMSW

  • Social Worker
  • Salisbury, MD
  • NPI 1053063065
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1376410084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6456 OXBRIDGE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218011793",
            "telephone_number": "443-860-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PHILLIP MORRIS DR STE 204B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042000",
            "telephone_number": "443-860-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY GRACE WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "TINEKA",
        "authorized_official_middle_name": "CHANTEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "301-524-3617",
        "authorized_official_name_prefix": "Mrs.",
        "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 Salisbury, MD
• Providers in Salisbury, 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 Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.