Deep Roots Wellness
Social Worker (Clinical)

Address: 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211
Phone: 4432979693

Deep Roots Wellness (NPI# 1598308322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1598308322
Entity Type Organization
Organization Name DEEP ROOTS WELLNESS
Practice Address 733 W. 40th Street
Print Shop Building Suite 20
Baltimore
MD 21211
Practice Telephone 4432979693
Mailing Address 3721 Rexmere Rd
Baltimore
MD 21218-2011
Authorized Official Name Jeremy Braverman (OWNER)
Authorized Official Telephone 4432979693
Authorized Official Credential LAC MAC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-10-24
Last Update Date 2020-08-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831794478 Lindsay Mcclune Social Worker 519 N Charles St, Baltimore, MD 21201-5099 2020-12-02
1922602184 Marianne Eileen Jones Social Worker 427 E Lake Ave, Baltimore, MD 21212-2545 2020-11-27
1043814650 Sarah Otley Social Worker 2 Hamill Rd Ste 410, Baltimore, MD 21210-1839 2020-11-24
1003418161 Mental Health Counseling & Life Coaching Corp Social Worker 3401 Greenway Unit 103, Baltimore, MD 21218-2601 2020-11-13
1629679352 Stephanike Moore Social Worker 3771 Ravenwood Ave, Baltimore, MD 21213-2021 2020-11-09
1508467069 Pivot Inc. Social Worker 1725 E Baltimore St, Baltimore, MD 21231-1508 2020-11-02
1265033716 Estell Wellness, LLC Social Worker 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 2020-11-02
1821698853 Britney Buckson Social Worker 3710 Mary Ave, Baltimore, MD 21206-2416 2020-10-28
1467052746 Allison Clayton Social Worker 1206 Union Ave, Baltimore, MD 21211-1901 2020-10-27
1134727506 Maria Eleanor Nissley Ray Social Worker 906 Wilmington Ave, Baltimore, MD 21223-3224 2020-10-16
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Office Location

Street Address 733 W. 40TH STREET
PRINT SHOP BUILDING SUITE 20
City BALTIMORE
State MD
Zip Code 21211

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194214981 Heather Carr Bergan Physical Therapy Assistant Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 2018-05-07
1427546100 Rebecca Meredith Student in an Organized Health Care Education/Training Program 843 Powers St, Baltimore, MD 21211 2018-04-27
1851896534 Dexter Kendrick Acupuncturist 2700 Reminton Ave, Baltimore, MD 21211 2018-03-26
1770092678 Bethany Grove Counselor 3433 Chestnut Ave, Baltimore, MD 21211 2017-09-22
1184140857 Walgreen Co Durable Medical Equipment & Medical Supplies 2700 Remington Ave Ste 500, Baltimore, MD 21211 2017-08-15
1528589116 Natalie C Hung Psychologist 623 W 34th St Ste 105, Baltimore, MD 21211 2017-07-05
1003359332 Hannah Elise Rose Counselor 711 W 40th Street, Suite 425, Baltimore, MD 21211 2016-11-17
1376091876 Penelope Kaikis Speech-Language Pathologist 3825 Greenspring Avenue, Baltimore, MD 21211 2016-09-14
1265862429 Alexandra Theo Samets Social Worker The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 2013-11-25
1356617641 Aram Jacob Paraghamian Pharmacist 29 Shipping Place, Baltimore, MD 21211 2012-03-30
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Competitor

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City BALTIMORE
Zip Code 21211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.