Healthcare Provider Details

I. General information

NPI: 1295246700
Provider Name (Legal Business Name): ANGELA HART-HESS, LCSW-C, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 ELKRIDGE LANDING RD STE 350
LINTHICUM MD
21090-2909
US

IV. Provider business mailing address

7228 HUGHES AVE
BALTIMORE MD
21219-2012
US

V. Phone/Fax

Practice location:
  • Phone: 443-848-3422
  • Fax: 443-410-0643
Mailing address:
  • Phone: 443-848-3422
  • Fax: 443-231-4331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10069
License Number StateMD

VIII. Authorized Official

Name: ANGELA HART-HESS
Title or Position: PSYCHOTHERAPIST
Credential: LCSW-C
Phone: 443-848-3422