=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417149501
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LORI ANGELA GLOSTER LCSW-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2007
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 932 HUNGERFORD DR STE 18B
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20850-1751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-315-0916
-----------------------------------------------------
Fax | 301-315-0918
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1805 BRIGGS RD
-----------------------------------------------------
City | SILVER SPRING
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20906-3308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-418-3139
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 12037
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------