Active NPI
The Healing Ventures LLC
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1568368454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE HEALING VENTURES LLC
- Practice address
- 4107 Wilkens Ave # 202
Baltimore, MD 21229-4725 - Phone
- (443) 416-9572
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- 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
- Bolanle Fanilola, LCSW-C
- Title
- Licensed Clinical Social Worker
- Phone
- (310) 916-9082
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 | Primary |
Addresses
Primary practice location
4107 Wilkens Ave # 202
Baltimore, MD 21229-4725
Mailing address
353 Paladium CT
Owings Mills, MD 21117-1398
Phone (310) 916-9082
National Provider Directory
National Provider DirectoryLocations
4107 Wilkens Ave
#202
Baltimore, MD 21229
Practitioners & 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.
-
- Social Worker
- Richmond, VA
- NPI 1043845910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1568368454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 PALADIUM CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171398",
"telephone_number": "310-916-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 WILKENS AVE # 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294725",
"telephone_number": "443-416-9572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEALING VENTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "FANILOLA",
"authorized_official_first_name": "BOLANLE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "310-916-9082",
"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": []
}
Other providers in Baltimore, MD
- The Great Atlantic and Pacific Tea Company Inc (Super Fresh Pharmacy)
- The Grounding Space, LLC
- The Hands That Care for U Nursing Referral Agency LLC
- The Harry and Jeanette Weinberg Park, Inc.
- The Healing Room, Inc.
- The Healing Well, LLC
- The Health Associates
- The Hearing and Speech Agency
- The Holding Space Group
- The House of Jude Children Services (The House of Jude Behavioral Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.