Beautifully Broken, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BEAUTIFULLY BROKEN, LLC

Practice address

312 Scott St
Baltimore, MD 21230-2105

Phone

(817) 721-3997

NPI assigned

Feb 28, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Venus Simms, LCSW-CNPI 1548726078

Title

Owner

Phone

(817) 721-3997

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venus Simms, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1548726078
  NPD Authorized official

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1912704677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E FORT AVE # 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SCOTT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302105",
            "telephone_number": "817-721-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFULLY BROKEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "VENUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-721-3997",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrick Beauliere, PSYD
• Kathleen Kittila Beaulieu, ATC
• Glenn J Beauman, P.A.-C.
• Beautiful Hearts and Minds Health Services
• Beautifully B, LLC
• Lisa Beauvois
• Julia Ann Beaver, M.D.
• Lesley Stiffler Beavers, CRNP
• Anna Louise Beavis, M.D.
• Michelle R Bebo, OTR/L

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.