Individual provider Active NPI

Angela Faith Noppenberger, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1003195975
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12663 Issued in MD
Practice address
222 W Cold Spring LN Ste B
Baltimore, MD 21210-2800
Phone
(410) 929-1596
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 12663 MD Primary

Addresses

Primary practice location

222 W Cold Spring LN Ste B
Baltimore, MD 21210-2800

Mailing address

222 W Cold Spring LN
Baltimore, MD 21210-2800
Phone (410) 929-1596

Other identifiers 1

IdentifierTypeStateIssuer
376751500MedicaidMD

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
I20120125000370 MD Practitioner - Clinical Social Worker 1759558174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 W Cold Spring LN
Suite B
Baltimore, MD 21210-2800
Phone (410) 929-1596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Molding Minds LLC CurrentSince Mar 29, 2019 Accepting new patients

Locations

222 W Cold Spring Ln
Ste B
Baltimore, MD 21210
Phone (410) 929-1596

2000 Girard Ave
Baltimore, MD 21211
Phone (410) 929-1596

Organizations & group practices 1

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1003195975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102800",
            "telephone_number": "410-929-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W COLD SPRING LN STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102800",
            "telephone_number": "410-929-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOPPENBERGER",
        "first_name": "ANGELA",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376751500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.