Organization Active NPI

Son of a Dream Services & Multimedia Resources, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1457078578
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SON OF A DREAM SERVICES & MULTIMEDIA RESOURCES, LLC
Practice address
4709 Harford Rd Ofc 2
Baltimore, MD 21214-3261
Phone
(443) 804-4794
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Mr. Robert Marvin Holmes III, LCSW-CNPI 1316547672
Title
Founder
Phone
(443) 804-4794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4709 Harford Rd Ofc 2
Baltimore, MD 21214-3261

Mailing address

4709 Harford Rd Ofc 2
Baltimore, MD 21214-3261
Phone (443) 804-4794

Other names 1

  • Son of a Dream Former legal business name

National Provider Directory

National Provider Directory

Locations

4709 Harford Rd
Ofc 2
Baltimore, MD 21214
Phone (443) 737-2870

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1457078578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 HARFORD RD OFC 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143261",
            "telephone_number": "443-804-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 HARFORD RD OFC 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143261",
            "telephone_number": "443-804-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON OF A DREAM SERVICES & MULTIMEDIA RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "443-804-4794",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Son of a Dream",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.