Individual provider Active NPI

Zona Lorvenia Teal

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1043851041
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22068 Issued in MD
Practice address
723 E Patapsco Ave
Baltimore, MD 21225-1934
Phone
(410) 355-1532
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LGA2540 MD
Social Worker 104100000X 22068 MD Primary

Addresses

Primary practice location

723 E Patapsco Ave
Baltimore, MD 21225-1934

Mailing address

19 Stuart Mills PL
Catonsville, MD 21228-2656
Phone (410) 908-4788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGA2540MDMDAddiction (Substance Use Disorder) Counselor
22068MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angelic Behavioral Health Services Addiction (Substance Use Disorder) CurrentSince May 9, 2021 Accepting new patients
Metro Families Adult-Children CurrentSince Oct 6, 2019 Accepting new patients

Locations

723 E Patapsco Ave
Baltimore, MD 21225
Phone (410) 225-7696

Organizations & group practices 2

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1043851041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STUART MILLS PL",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282656",
            "telephone_number": "410-908-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251934",
            "telephone_number": "410-355-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "ZONA",
        "middle_name": "LORVENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LGA2540",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22068",
            "primary": true
        }
    ],
    "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 Oct 1, 2019; 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.