OrganizationActive
For Wellness, LLC
NPI 1053049544 · Clinical Social Worker · Laurel, MD
Provider details
- NPI number
- 1053049544
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jasmine Tierra White, Psychotherapist / Owner(240) 706-0748
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10003 Ruffian Way Unit B
Laurel, MD 20723-2088
Phone: (240) 706-0748
Street-level locationGet directions
Mailing address
10003 Ruffian Way Unit B
Laurel, MD 20723-2088
Registry dates
- Enumerated
- 2022-08-11
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.