MEDICARE: ANGELA DALE GREENWOOD LMSW

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	101YP2500X	Professional Counselor	33464	MD

General Provider Information

NPI Number	:	1346132354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA DALE GREENWOOD LMSW

Provider Business Mailing Address
First Line	:	764 CLEVELAND AVE
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-3341
Country	:	US
Telephone Number	:	301-268-9742
Fax Number	:

Provider Business Practice Location Address
First Line	:	764 CLEVELAND AVE
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-3341
Country	:	US
Telephone Number	:	301-268-9742
Fax Number	:

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

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	02/08/2026

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