Organization Active NPI

Transformation Health, LLC

  • Clinical Social Worker
  • Ellicott City, MD
National Provider Identifier
1912201021
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14756 Issued in MD
Legal business name
TRANSFORMATION HEALTH, LLC
Practice address
4083 Dorseys Ridge SQ
Ellicott City, MD 21043-5469
Phone
(443) 224-3002
NPI assigned
Jan 4, 2011
Last updated
Jun 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Authorized official

Name
Monica Laney BoddieNPI 1396977872
Title
Ceo
Phone
(443) 224-3002

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 14756 MD Primary

Addresses

Primary practice location

4083 Dorseys Ridge SQ
Ellicott City, MD 21043-5469

Mailing address

4083 Dorseys Ridge SQ
Ellicott City, MD 21043-5469
Phone (443) 224-3002

National Provider Directory

National Provider Directory
Tax ID family
Transformation Health LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the 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": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1912201021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 DORSEYS RIDGE SQ",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435469",
            "telephone_number": "443-224-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 DORSEYS RIDGE SQ",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435469",
            "telephone_number": "443-224-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A",
        "authorized_official_last_name": "BODDIE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LANEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-224-3002"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.