NPIMap

Organization Active NPI

Infinite Growth Life and Wellness LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1821515008
Registry record updated Nov 14, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20031 Issued in MD
Legal business name
INFINITE GROWTH LIFE AND WELLNESS LLC
Practice address
6600 York Rd Ste 109a
Baltimore, MD 21212-2092
Phone
(443) 848-4335
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Authorized official

Name
Ms. Tyvangela Christine Hopkins, LCSW-C
Title
Owner/Provider
Phone
(443) 848-4335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 20031 MD Primary

Addresses

Primary practice location

6600 York Rd Ste 109a
Baltimore, MD 21212-2092

Mailing address

P.O Box 31730
Gwynn Oak, MD 21207-9998
Phone (443) 848-4335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605312000000",
    "number": "1821515008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 31730",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212079998",
            "telephone_number": "443-848-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 109A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122092",
            "telephone_number": "443-848-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE GROWTH LIFE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "TYVANGELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "443-848-4335",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20031",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 14, 2020; 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.