Active NPI
Teyawanda Booker, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1629542998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19369
- Practice address
- 6700 Alexander Bell Dr # 260
Columbia, MD 21046-2122 - Phone
- (240) 440-7267
- NPI assigned
- Jan 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19369 | MD | Primary |
Addresses
Primary practice location
6700 Alexander Bell Dr # 260
Columbia, MD 21046-2122
Mailing address
7724 Mellow CT
Hanover, MD 21076-1583
Phone (240) 440-7267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19369 | Other | MD | BOARD OF SOCIAL WORK EXMAINER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19369 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1629542998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7724 MELLOW CT",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761583",
"telephone_number": "240-440-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 ALEXANDER BELL DR # 260",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462122",
"telephone_number": "240-440-7267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "TEYAWANDA",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-19",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF SOCIAL WORK EXMAINER",
"identifier": "19369",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.