Wellformed AI

NPI 1184422370 · live from the CMS NPI Registry

Act Wellness Institute, LLC

Social Worker, Clinical in Columbia, MD. National Provider Identifier 1184422370, active.

NPI record

NPI1184422370 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location10440 Little Patuxent Pkwy Ste 300, Columbia, MD 21044
Practice phone667-379-9328
EnumeratedMarch 4, 2025
Last updatedMarch 21, 2025
Authorized officialTaneasha Clark, Social Worker

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.