Healthcare Provider Details
I. General information
NPI: 1710842653
Provider Name (Legal Business Name): ROHO AMANI & NIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1641 E NORTHERN PKWY
BALTIMORE MD
21239-2103
US
IV. Provider business mailing address
8 THE GRN STE 12218
DOVER DE
19901-3618
US
V. Phone/Fax
- Phone: 302-403-7373
- Fax:
- Phone: 302-403-7373
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRACY
MATTHEWS
Title or Position: OWNER/THERAPIST
Credential: LCSWC
Phone: 302-403-7373