Individual provider Active NPI

Julia Christiana Rasnake, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1639777295
Registry record updated Apr 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24921 Issued in MD
Practice address
1700 South Rd
Baltimore, MD 21209-4504
Phone
(240) 614-2595
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 24921 MD Primary

Addresses

Primary practice location

1700 South Rd
Baltimore, MD 21209-4504

Mailing address

11616 Flints Grove LN
North Potomac, MD 20878-2482
Phone (240) 601-1553

Other practice location 1

845 Quince Orchard Blvd Ste F
Gaithersburg, MD 20878-1676
Phone (301) 769-5878 ext. 727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24921MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Wellbeing Therapy LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

1700 South Rd
Baltimore, MD 21209
Phone (240) 614-2595

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682812800000",
    "number": "1639777295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11616 FLINTS GROVE LN",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782482",
            "telephone_number": "240-601-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SOUTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094504",
            "telephone_number": "240-614-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Quince Orchard Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208781676",
            "country_code": "US",
            "telephone_number": "301-769-5878 x727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASNAKE",
        "first_name": "JULIA",
        "middle_name": "CHRISTIANA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.