Organization Active NPI

Lotus Vida Healing LLC

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1881403814
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOTUS VIDA HEALING LLC
Practice address
450 Nolcrest Rd
Glen Burnie, MD 21061-5309
Phone
(717) 559-0874
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Darlene Alvalle, LCSW, LCSW-CNPI 1003506056
Title
Ceo/Owner
Phone
(717) 954-7303

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

450 Nolcrest Rd
Glen Burnie, MD 21061-5309

Mailing address

450 Nolcrest Rd
Glen Burnie, MD 21061-5309
Phone (717) 559-0874

Other names 1

  • Darlene Alvalle, LCSW, LCSW-C Other name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1881403814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NOLCREST RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615309",
            "telephone_number": "717-559-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NOLCREST RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615309",
            "telephone_number": "717-559-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS VIDA HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "ALVALLE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "717-954-7303",
        "authorized_official_credential": "LCSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darlene Alvalle, LCSW, LCSW-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.