MEDICARE: SPROUTING COMMUNITY WELLNESS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1003772229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPROUTING COMMUNITY WELLNESS, INC.

Provider Business Mailing Address
First Line	:	608 WATER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-4021
Country	:	US
Telephone Number	:	410-530-7990
Fax Number	:

Provider Business Practice Location Address
First Line	:	608 WATER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-4021
Country	:	US
Telephone Number	:	410-530-7990
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS CHAUNA MICHELLE WATSON
Credential	:
Telephone Number	:	410-530-7990

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	12/31/2025

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1881925584 — DR. MICHAEL BRUCE FREEDMAN LSCW-C
Practice Location Address:

6109 STUART AVE
BALTIMORE, MD
21209-4021

Practice Phone: 410-790-8433
Practice Fax:

1558688820 — CECILIA ALEJANDRA LAROCCA
Practice Location Address:

218 N CHARLES ST , APT. 1511
BALTIMORE, MD
21201-4021

Practice Phone: 646-483-8936
Practice Fax:

1538453212 — MRS. TONYA MARIE CONYERS LCSW-C
Practice Location Address:

1063 UPNOR RD
BALTIMORE, MD
21212-4021

Practice Phone: 410-426-1044
Practice Fax:

Directions to “SPROUTING COMMUNITY WELLNESS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.