Wellformed AI

NPI 1396696910 · live from the CMS NPI Registry

A Rae Of Hope Wellness, LLC

Social Worker, Clinical in Germantown, MD. National Provider Identifier 1396696910, active.

NPI record

NPI1396696910 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location12410 Milestone Center Dr Ste 600, Germantown, MD 20876
Practice phone240-723-0707
EnumeratedFebruary 9, 2026
Last updatedFebruary 9, 2026
Authorized officialTahja-Rae Dickenson, Owner

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.