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NPI Code Detail

MEDICARE: MS. CONNIE ANGIULI LCSW-C

MEDICARE: MS. CONNIE ANGIULI LCSW-C
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
11041C0700XClinical Social Worker12655MD

General Provider Information

NPI Number : 1023205382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CONNIE ANGIULI LCSW-C
Provider Business Mailing Address
First Line : 4623 FALLS RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21209-4914
Country : US
Telephone Number : 410-366-1980
Fax Number : 410-366-8530
Provider Business Practice Location Address
First Line : 10451 TWIN RIVERS RD
Second Line : SUITE 100
City : COLUMBIA
State : MD
Zip : 21044-2388
Country : US
Telephone Number : 410-997-3557
Fax Number : 410-964-1791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2007
Last Update Date : 04/15/2026

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Directions to “ MS. CONNIE ANGIULI LCSW-C” Practice Location

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