Active NPI
Healing for Her LLC
- Clinical Social Worker
- Catonsville, MD
National Provider Identifier
1790288322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20015
- Legal business name
- HEALING FOR HER LLC
- Practice address
- 516 N Rolling Rd
Catonsville, MD 21228-4140 - Phone
- (443) 892-3626
- NPI assigned
- Mar 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tinicka W Smith
- Title
- Therapist/Owner
- Phone
- (443) 892-3626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20015 | MD | Primary |
Addresses
Primary practice location
516 N Rolling Rd
Catonsville, MD 21228-4140
Mailing address
516 N Rolling Rd
Catonsville, MD 21228-4140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952811499 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
516 N Rolling Rd
Catonsville, MD 21228
Phone (240) 397-9187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1790288322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 N ROLLING RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 N ROLLING RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284140",
"telephone_number": "443-892-3626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING FOR HER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-09",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TINICKA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "443-892-3626"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "20015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952811499",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.