NPIMap

Organization Active NPI

Dundalk Health & Wellness LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1619738424
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DUNDALK HEALTH & WELLNESS LLC
Practice address
6610 Tributary St Ste 310
Baltimore, MD 21224-6514
Phone
(443) 438-9532
Fax
(443) 438-9852
NPI assigned
Jan 18, 2024
Organization subpart
Yes
Parent organization
DUNDALK HEALTH & WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Dr. Iris Jackson Taylor, LCSW-C
Title
Director
Phone
(443) 628-6956

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

6610 Tributary St Ste 310
Baltimore, MD 21224-6514

Mailing address

6610 Tributary St Ste 310
Baltimore, MD 21224-6514
Phone (443) 628-6956

Other names 1

  • DUNDALK HEALTH & WELLNESS Other name

National Provider Directory

National Provider Directory
Tax ID family
Dundalk Health Wellness LLC3 organizations share this tax ID, including this one
Part of
Dundalk Health Wellness LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1619738424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 TRIBUTARY ST STE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246514",
            "telephone_number": "443-628-6956",
            "fax_number": "443-628-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 TRIBUTARY ST STE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246514",
            "telephone_number": "443-438-9532",
            "fax_number": "443-438-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDALK HEALTH & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNDALK HEALTH & WELLNESS LLC",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON TAYLOR",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-628-6956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUNDALK HEALTH & WELLNESS",
            "code": "5",
            "type": "Other 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 Jun 5, 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.

Verify at the official NPI Registry.