Organization Active NPI

Soulglow Wellness, L.L.C.

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1881578045
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOULGLOW WELLNESS, L.L.C.
Practice address
600 Marblewing CT
Frederick, MD 21703-2212
Phone
(240) 586-9565
NPI assigned
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Ms. Brittney Brossart, LICSWNPI 1720787328
Title
Managing Employee
Phone
(240) 586-9565

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

600 Marblewing CT
Frederick, MD 21703-2212

Mailing address

600 Marblewing CT
Frederick, MD 21703-2212
Phone (240) 586-9565

Other names 1

  • Soulglow Wellness, L.L.C. 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": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1881578045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MARBLEWING CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032212",
            "telephone_number": "240-586-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARBLEWING CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032212",
            "telephone_number": "240-586-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULGLOW WELLNESS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "BROSSART",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "240-586-9565",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "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": "Soulglow Wellness, L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.