Rivers of Healing LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RIVERS OF HEALING LLC

Practice address

14502 Greenview Dr Ste 500
Laurel, MD 20708-4245

Phone

(301) 825-1982

NPI assigned

Dec 28, 2018

Last updated

Aug 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanya Wagner, LICSW, LCSW-I, MSWNPI 1336432749

Title

Owner

Phone

(443) 449-8683

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

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.

• Tanya Wagner, LCSW-C

  • Social Worker
  • Laurel, MD
  • NPI 1336432749

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1790257939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 550",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "301-825-1982",
            "fax_number": "443-279-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 500",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084245",
            "telephone_number": "301-825-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS OF HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-449-8683",
        "authorized_official_credential": "LICSW, LCSW-I, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336432749",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rise2Med Healthcare Services LLC
• Rita Pabla MD
• Lisa Nicole Rittenhouse
• Ana E Rivas
• Joyce Riveral, PT
• Samir G Rizk, OPTICIAN
• Sophia Rizvi, LGPC
• Tzvi Robbins, MD
• Erica Veronique Roberson
• Robert F. Gradishar DDS PA

• Clinical Social Worker in Laurel, MD
• Providers in Laurel, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.