Organization Active NPI

Angel Foundation

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1003852286
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC0380 Issued in MD
Legal business name
ANGEL FOUNDATION
Practice address
100 W 22ND St
Baltimore, MD 21218-5602
Phone
(410) 467-0507
Fax
(410) 467-2413
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Sharon F. Broy, LCSW-C, BCD
Title
Clinical Director
Phone
(410) 467-0507

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC0380 MD Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 09114 MD
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 04058 MD

Addresses

Primary practice location

100 W 22ND St
Baltimore, MD 21218-5602

Mailing address

100 W 22ND St
Baltimore, MD 21218-5602
Phone (410) 467-0507

National Provider Directory

National Provider Directory

Locations

100 W 22nd St
Baltimore, MD 21218
Phone (410) 467-0507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003852286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 22ND ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185602",
            "telephone_number": "410-467-0507",
            "fax_number": "410-467-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 22ND ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185602",
            "telephone_number": "410-467-0507",
            "fax_number": "410-467-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BROY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-467-0507",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C, BCD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0380",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09114",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.