Organization Active NPI

Roots and Wings, LLC.

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1760181085
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOTS AND WINGS, LLC.
Practice address
5003 Catalpha Rd
Baltimore, MD 21214-2121
Phone
(914) 772-4381
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Chelsea GleasonNPI 1710458385
Title
Therapist/Partner
Phone
(914) 772-4381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5003 Catalpha Rd
Baltimore, MD 21214-2121

Mailing address

5835 York Rd # 1175
Baltimore, MD 21212-3612

Other identifiers 2

IdentifierTypeStateIssuer
1659077949OtherMDNPPES
1710458385OtherMDNPPES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1760181085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 YORK RD # 1175",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 CATALPHA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142121",
            "telephone_number": "914-772-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS AND WINGS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "THERAPIST/PARTNER",
        "authorized_official_telephone_number": "914-772-4381"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1659077949",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1710458385",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 24, 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.