Botanic Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BOTANIC WELLNESS, LLC

Practice address

5528 Belair Rd Ste 2
Baltimore, MD 21206-3659

Phone

(443) 220-7296

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dashaira Bennnett, LCSW-C

Title

Ceo/Owner

Phone

(443) 220-7296

Specialties & licenses 1

Addresses

Other names 1

• Botanic Wellness Former legal business name

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, and the practitioner matching its NPPES authorized official.

• Dashaira Keyanna Bennett, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1679270680
  Medicare reassignment NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1447038757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MELVILLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182555",
            "telephone_number": "443-220-7296",
            "fax_number": "410-705-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 BELAIR RD STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063659",
            "telephone_number": "443-220-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTANIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "BENNNETT",
        "authorized_official_first_name": "DASHAIRA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "443-220-7296",
        "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": [
        {
            "organization_name": "Botanic Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jose S Boston, M.D.,CMD
• Teresa Boston, LCSW-C
• Michaela Bostwick
• Kimberly Allison Boswell, MD
• Sharon A Boswell, CRNP
• Hayley F Boteler
• Wendy Tatiana Botero Torres, PA-C
• Kalina K Boteva, MD
• Fritzlanzia Laura Botex
• James Duncan Bothwell Jr., MD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Sep 18, 2023; 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.