Healthcare Provider Details

I. General information

NPI: 1093647836
Provider Name (Legal Business Name): LOVEWELL MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 DRUID PARK LAKE DR
BALTIMORE MD
21217
US

IV. Provider business mailing address

2520 HARLEM AVE
BALTIMORE MD
21216-4838
US

V. Phone/Fax

Practice location:
  • Phone: 202-838-7822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAUREN E BOONE
Title or Position: CLINICAL SOCIAL WORKER/ FOUNDER
Credential: LICSW
Phone: 443-939-8678