DEEP ROOTS WELLNESS
NPI 1598308322
Social Worker - Clinical in Baltimore, MD

Active since October 24, 2019
733 W. 40TH STREET, PRINT SHOP BUILDING SUITE 20, BALTIMORE, MD 21211(443) 297-9693 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 6, 2020, Oct 24, 2019 (2 updates tracked since 2019).

About Deep Roots Wellness NPPES

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

DEEP ROOTS WELLNESS (NPI 1598308322) is a healthcare organization registered as a clinical in Baltimore, Maryland and active in the NPI registry since October 2019. The organization lists Jeremy Braverman, Owner, as its authorized official.

NPPES Registry Identity

NPI1598308322
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDEEP ROOTS WELLNESS
Location Address733 W. 40TH STREET, PRINT SHOP BUILDING SUITE 20Baltimore, MD 21211
Mailing Address3721 Rexmere RdBaltimore, MD 21218-2011
Organization SubpartNo
Authorized OfficialJeremy BravermanOwner · (443) 297-9693
Enumeration DateOctober 24, 2019
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
NPI 1598308322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
733 W. 40TH STREET, Baltimore, MD 21211

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

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 Deep Roots Wellness's NPI number?

The NPI number for Deep Roots Wellness is 1598308322. It was assigned to this organization in the NPPES registry on October 24, 2019.

Where is Deep Roots Wellness located?

Deep Roots Wellness is located at 733 W. 40th Street Print Shop Building Suite 20, Baltimore, MD 21211. The listed phone number is (443) 297-9693.

What is Deep Roots Wellness's specialty?

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

When was this NPI record last updated?

The NPPES record for Deep Roots Wellness was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.