MEDICARE: LULA MOULTRIE HEATLEY 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
1	1041C0700X	Clinical Social Worker	16665	MD

General Provider Information

NPI Number	:	1164702098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LULA MOULTRIE HEATLEY LCSW-C

Provider Business Mailing Address
First Line	:	1900 E NORTHERN PKWY STE T7
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21239-2120
Country	:	US
Telephone Number	:	240-273-8062
Fax Number	:	240-273-8062

Provider Business Practice Location Address
First Line	:	1900 E NORTHERN PKWY STE T7
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21239-2120
Country	:	US
Telephone Number	:	240-273-8062
Fax Number	:	240-273-8062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2011
Last Update Date	:	07/18/2022

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:

1154571362 — MRS. ERICA LYNN HALL CRNP
Practice Location Address:

1900 E NORTHERN PKWY STE T1
BALTIMORE, MD
21239-2120

Practice Phone: 667-260-2826
Practice Fax: 443-552-1464

1578873733 — MELISSA ANNETTE POWELL LCSW-C
Practice Location Address:

1900 E NORTHERN PKWY STE T5
BALTIMORE, MD
21239-2120

Practice Phone: 410-645-1000
Practice Fax: 667-205-1382

1992230338 — TRANSFORMING LIVES COUNSELING SERVICES, LLC
Practice Location Address:

1900 E NORTHERN PKWY STE T5
BALTIMORE, MD
21239-2120

Practice Phone: 410-645-1000
Practice Fax: 672-051-3826

Directions to “ LULA MOULTRIE HEATLEY LCSW-C” 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.