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TAAVON BAZEMORE JR. LCSW-C
NPI 1174925036
Social Worker - Clinical in Baltimore, MD

Active since September 23, 2014PECOS Enrolled
421 FALLSWAY, BALTIMORE, MD 21202(443) 703-1196 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Taavon Bazemore Jr. Lcsw-c NPPES

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

TAAVON BAZEMORE JR. LCSW-C (NPI 1174925036) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (18084) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174925036
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTAAVON BAZEMORE JR.Credential: LCSW-C
Location Address421 FALLSWAYBaltimore, MD 21202-4800
Mailing Address2431 Lakeview Ave Apt 3cBaltimore, MD 21217-4709 · (443) 962-4674
Phone(443) 703-1196
Sole ProprietorNo
Enumeration DateSeptember 23, 2014
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1174925036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 18084
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.
421 FALLSWAY, Baltimore, MD 21202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taavon Bazemore Jr. Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Taavon Bazemore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Care For The Homeless, Inc
Same address
Federally Qualified Health Center (FQHC)
421 FALLSWAY
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 14 clinicians in this Medicare group
NPI 1003819665 (410) 837-5533

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN EMMA SYNOVEC OTR/L
Occupational Therapist (Mental Health)
421 FALLSWAY
BALTIMORE, MD 21202
Baltimore City (407) 716-0528
HEALTH CARE FOR THE HOMELESS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
421 FALLSWAY
BALTIMORE, MD 21202
Baltimore City (410) 837-5533
SYANDENE UNDERWOOD
Social Worker
421 FALLSWAY
BALTIMORE, MD 21202
Baltimore City (443) 703-1196
SCOTT WILFONG
Social Worker
421 FALLSWAY
BALTIMORE, MD 21202
Baltimore City (443) 703-1253
LAKEESHA GRIFFIN LGSW
Social Worker
421 FALLSWAY
BALTIMORE, MD 21202
Baltimore City (410) 837-5533
DR. SARAH MEAGHER GILLMAN M.D.
Psychiatry & Neurology (Psychiatry)
421 FALLSWAY
BALTIMORE, MD 21202
Baltimore City (410) 837-5533
LINFAH MCQUEEN PHARMD
Pharmacist
421 FALLSWAY
BALTIMORE, MD 21202
Baltimore City (410) 962-1100
RENA SARI CARD LGSW
Social Worker
421 FALLSWAY
BALTIMORE, MD 21202
Baltimore City (443) 703-1161

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 Taavon Bazemore's NPI number?

The NPI number for Taavon Bazemore is 1174925036. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Taavon Bazemore located?

Taavon Bazemore practices at 421 Fallsway, Baltimore, MD 21202. The listed phone number is (443) 703-1196.

What is Taavon Bazemore's specialty?

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

Is Taavon Bazemore enrolled in Medicare?

Yes. Taavon Bazemore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taavon Bazemore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taavon Bazemore reassigns Medicare benefits to Health Care For The Homeless, Inc (Baltimore, MD). The 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 Taavon Bazemore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taavon Bazemore was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.