Individual provider Active NPI

Rosalind Lavern Terrell, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1548941966
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14268 Issued in MD
Practice address
4413 Falls Bridge Dr Apt C
Baltimore, MD 21211-1373
Phone
(443) 326-3452
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14268 MD Primary

Addresses

Primary practice location

4413 Falls Bridge Dr Apt C
Baltimore, MD 21211-1373

Mailing address

4413 Falls Bridge Dr Apt C
Baltimore, MD 21211-1373
Phone (443) 326-3452

Other practice location 1

1900 E Northern Pkwy Ste 305A
Baltimore, MD 21239-2111
Phone (410) 409-6500

Other names 1

  • Rosalind Terrell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14268MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1548941966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 FALLS BRIDGE DR APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111373",
            "telephone_number": "443-326-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 FALLS BRIDGE DR APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111373",
            "telephone_number": "443-326-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 E Northern Pkwy Ste 305A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392111",
            "country_code": "US",
            "telephone_number": "410-409-6500",
            "fax_number": "443-449-7169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "ROSALIND",
        "middle_name": "LAVERN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIND",
            "last_name": "TERRELL",
            "credential": "LCSW-C",
            "code": "2",
            "type": "Professional 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 Jul 27, 2023; 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.