Active NPI
Transforming and Renewing You
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1407245327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11339
- Legal business name
- TRANSFORMING AND RENEWING YOU
- Practice address
- 2517 N Charles St
Baltimore, MD 21218-4602 - Phone
- (443) 939-5223
- NPI assigned
- Jan 15, 2015
- Last updated
- Jan 15, 2015
- 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
- Latavia M Little, LCSW-C
- Title
- Owner
- Phone
- (443) 939-5223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11339 | MD | Primary |
Addresses
Primary practice location
2517 N Charles St
Baltimore, MD 21218-4602
Mailing address
2517 N Charles St
Baltimore, MD 21218-4602
Phone (443) 939-5223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Pikesville, MD
- NPI 1013356856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421280000000",
"number": "1407245327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184602",
"telephone_number": "443-939-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184602",
"telephone_number": "443-939-5223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMING AND RENEWING YOU",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "LATAVIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-939-5223",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Transformational Recovery
- Transformative Mental Wellbeing Group, LLC
- Transformed Healthcare Services LLC
- Transformed Perspectives (Transformed Perspectives- Group Practice)
- Transformed Perspectives
- Transforming Lives Counseling and PRP Services, LLC
- Transforming Lives Counseling and PRP Services, LLC
- Transforming Lives Counseling and PRP Services, LLC
- Transforming Lives Counseling Services, LLC
- Transforming Lives With Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.