Active NPI
Somatic Wellness Therapy LLC
- Clinical Social Worker
- Crofton, MD
National Provider Identifier
1982570354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SOMATIC WELLNESS THERAPY LLC
- Practice address
- 1612 Professional Blvd Ste Ab203
Crofton, MD 21114-2049 - Phone
- (410) 656-9522
- NPI assigned
- Oct 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samina Hasan, LCSW-C
- Title
- Psychotherapist
- Phone
- (410) 656-9522
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1612 Professional Blvd Ste Ab203
Crofton, MD 21114-2049
Mailing address
1612 Professional Blvd Ste Ab203
Crofton, MD 21114-2049
Phone (410) 656-9522
National Provider Directory
National Provider DirectoryLocations
1612 Professional Blvd
Ste AB203
Crofton, MD 21114
Phone (410) 656-9522
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": "1760400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771632000000",
"number": "1982570354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 PROFESSIONAL BLVD STE AB203",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142049",
"telephone_number": "410-656-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 PROFESSIONAL BLVD STE AB203",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142049",
"telephone_number": "410-656-9522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMATIC WELLNESS THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-14",
"last_updated": "2026-02-21",
"certification_date": "2026-02-21",
"status": "A",
"authorized_official_last_name": "HASAN",
"authorized_official_first_name": "SAMINA",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "410-656-9522",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.