NPIMap

Organization Active NPI

Healing Space, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1801510029
Registry record updated Jan 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING SPACE, LLC
Practice address
4035 Falls Rd
Baltimore, MD 21211-1741
Phone
(443) 383-2060
NPI assigned
Sep 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2023

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

Authorized official

Name
Elaina McWilliams, LCSW-CNPI 1437320140
Title
Owner & Psychotherapist
Phone
(443) 383-2060

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4035 Falls Rd
Baltimore, MD 21211-1741

Mailing address

4035 Falls Rd
Baltimore, MD 21211-1741
Phone (443) 383-2060

Other names 1

  • Healing Space, LLC Doing business as

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": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672531200000",
    "number": "1801510029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111741",
            "telephone_number": "443-383-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111741",
            "telephone_number": "443-383-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SPACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "443-383-2060",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Space, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healing Space, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 1, 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.