Angela Lynnette Ealy, LICSW, LCSW-C | |
11400 Glenn Dale Blvd, Glenn Dale, MD 20769-9049 | |
(301) 352-0320 | |
(301) 860-1258 |
Full Name | Angela Lynnette Ealy |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11400 Glenn Dale Blvd, Glenn Dale, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336661511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 13539 (Maryland) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
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Angela Lynnette Ealy, LICSW, LCSW-C 6319 Montery Rd, Elkridge, MD 21075-6926 Ph: (240) 274-2840 | Angela Lynnette Ealy, LICSW, LCSW-C 11400 Glenn Dale Blvd, Glenn Dale, MD 20769-9049 Ph: (301) 352-0320 |
Mrs. Patricia A. Warrick, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5203 Janesdale Ct, Glenn Dale, MD 20769 Phone: 202-367-2663 Fax: 301-262-6437 | |
Veronica Labrell Smith, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11400 Glenn Dale Blvd, Glenn Dale, MD 20769 Phone: 301-352-1768 | |
Estefany Larios, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 200, Glenn Dale, MD 20769 Phone: 888-694-0333 | |
Cynthia Uchendu, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 200, Glenn Dale, MD 20769 Phone: 202-706-7603 | |
Kelvin L Mitchell, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 104, Glenn Dale, MD 20769 Phone: 301-821-7716 Fax: 301-352-0405 |