Individual provider Active NPI

Angela Suzette Latney, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1003083403
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09935 Issued in MD
Practice address
9 Buhrstone CT
Owings Mills, MD 21117-4960
Phone
(443) 244-7615
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09935 MD Primary

Addresses

Primary practice location

9 Buhrstone CT
Owings Mills, MD 21117-4960

Mailing address

98 Klee Mill Rd
Sykesville, MD 21784-9236
Phone (443) 244-7615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815004201 MD Practitioner - Clinical Social Worker 7719486851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3030 Greenmount Ave
Suite 150
Baltimore, MD 21218-6935

8201 Corporate Dr
Suite 630
Hyattsville, MD 20785-2258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09935MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Health Systems LLC CurrentSince Aug 1, 2025 Accepting new patients
Still Waters Health Systems LLC CurrentSince Aug 1, 2025 Accepting new patients
Destilee Consulting LLC Clinical Past Accepting new patients

Locations

3030 Greenmount Ave
Ste 150
Baltimore, MD 21218
Phone (410) 202-1094

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1003083403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 KLEE MILL RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849236",
            "telephone_number": "443-244-7615",
            "fax_number": "443-303-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BUHRSTONE CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174960",
            "telephone_number": "443-244-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATNEY",
        "first_name": "ANGELA",
        "middle_name": "SUZETTE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.