Organization Active NPI

Havenroot Therapy and Wellness

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1902766520
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HAVENROOT THERAPY AND WELLNESS
Practice address
5535 Belleville Ave
Baltimore, MD 21207-6945
Phone
(443) 502-0825
NPI assigned
Nov 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Ikechukwu NwakanmaNPI 1285501924
Title
Managing Partner
Phone
(443) 502-0825

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5535 Belleville Ave
Baltimore, MD 21207-6945

Mailing address

5535 Belleville Ave
Baltimore, MD 21207-6945

National Provider Directory

National Provider Directory

Locations

6701 Democracy Blvd
Bethesda, MD 20817
Phone (301) 399-9119

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": "1763164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1902766520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 BELLEVILLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 BELLEVILLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076945",
            "telephone_number": "443-502-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENROOT THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-15",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "NWAKANMA",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "443-502-0825"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Apr 30, 2026; 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.