AWAKEN THE SPIRIT LLC
NPI 1124492665
Social Worker - Clinical in Catonsville, MD

Active since November 20, 2015
9 NEWBURG AVE STE 100, CATONSVILLE, MD 21228(410) 747-9743(410) 747-9910 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Sep 26, 2021, Feb 24, 2016 and 1 more (4 updates tracked since 2015).

About Awaken The Spirit Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AWAKEN THE SPIRIT LLC (NPI 1124492665), doing business as Awaken The Spirit Wellness Center, is a healthcare organization registered as a clinical in Catonsville, Maryland and active in the NPI registry since November 2015. The organization lists Cheryl A Depetro, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1124492665
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAWAKEN THE SPIRIT LLC
Location Address9 NEWBURG AVE STE 100Catonsville, MD 21228-5168
Mailing Address9 Newburg Ave Ste 100Catonsville, MD 21228-5168 · (410) 747-9743 · Fax (410) 747-9910
Fax(410) 747-9910
Organization SubpartNo
Authorized OfficialCheryl A DepetroManaging Director · (410) 747-9743
Enumeration DateNovember 20, 2015
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1124492665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 09177
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.
Also ListedAcupuncturistTaxonomy 171100000X · License U01507 (MD)
9 NEWBURG AVE STE 100, Catonsville, MD 21228

Other Names 1

Doing Business AsAwaken The Spirit Wellness Center

Other Identifiers 2

Medicaid149702200MD
Other929RMD · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Awaken The Spirit Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Awaken The Spirit LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1023191418
9 NEWBURG AVE STE 100
Catonsville, MD 21228
(410) 747-9743
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1932572963
1110 BENFIELD BLVD STE B
Millersville, MD 21108
(410) 222-4217
✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Awaken The Spirit LLC's NPI number?

The NPI number for Awaken The Spirit LLC is 1124492665. It was assigned to this organization in the NPPES registry on November 20, 2015. The provider is doing business as Awaken The Spirit Wellness Center.

Where is Awaken The Spirit LLC located?

Awaken The Spirit LLC is located at 9 Newburg Ave Ste 100, Catonsville, MD 21228. The listed phone number is (410) 747-9743.

What is Awaken The Spirit LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Awaken The Spirit LLC enrolled in Medicare?

Yes. Awaken The Spirit LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Awaken The Spirit LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Awaken The Spirit LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Awaken The Spirit LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.