Organization Active NPI

Ancestral Roots Reiki, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1841046497
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANCESTRAL ROOTS REIKI, LLC
Doing business as
Rebecca Woodward
Practice address
810 S Rose St
Baltimore, MD 21224-3739
Phone
(443) 521-5707
NPI assigned
Apr 25, 2024
Organization subpart
Yes
Parent organization
REBECCA WOODWARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Ms. Rebecca Woodward, LCSW-CNPI 1326813379
Title
Mental Health Therapist
Phone
(443) 521-5707

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

810 S Rose St
Baltimore, MD 21224-3739

Mailing address

810 S Rose St
Baltimore, MD 21224-3739
Phone (443) 521-5707

Other names 1

  • Rebecca Woodward Doing business as

National Provider Directory

National Provider Directory
Part of
Ancestral Roots Reiki LLC

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": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1841046497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S ROSE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243739",
            "telephone_number": "443-521-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S ROSE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243739",
            "telephone_number": "443-521-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCESTRAL ROOTS REIKI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REBECCA WOODWARD",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "443-521-5707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca Woodward",
            "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 Apr 25, 2024; 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.