Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taavon Bazemore Jr., LCSW-C

Individual provider Clinical Social Worker · NPI 1174925036

Taavon Bazemore Jr., LCSW-C is a Clinical Social Worker in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014

Practice location Address checks out

421 Fallsway
Baltimore, MD 21202-4800
Phone: (443) 703-1196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18084 (MD)

Record details

NPI number1174925036
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2014
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

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