Angela Wall Mauldin, LCSW
Individual provider Active NPI Clinical Social Worker · Harmony, NC
NPI 1013944644 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1013944644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C004358 (NC)
- Practice address
- 239 Homestead Rd
Harmony, NC 28634-9448 - Phone
- (704) 928-7360
- Fax
- (704) 919-5731
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 11, 2024 through Jan 11, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004358 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In the Garden Counseling, PLLC | Current |
Accepting new patients |
Locations
239 Homestead Rd
Harmony, NC 28634
Phone (704) 928-7360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004358 | NC | Yes |
Addresses
Primary practice location
239 Homestead Rd
Harmony, NC 28634-9448
Mailing address
239 Homestead Rd
Harmony, NC 28634-9448
Phone (704) 928-7360
Other providers in Harmony, NC
- In the Garden Counseling, PLLC
- Iredell Physician Network LLC
- Iredell Physician Network LLC
- Lancaster Health Care,Inc.
- Mary Catherine McCormick Browne
- Carol Furr Mayben
- Mary Catherine McCormick Browne
- North Iredell Pharmacy, Inc
- Patricia Ladd Overman
- Johannah Robinette
All providers in Harmony, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.