Angela Maribeth Mollette, LCSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11288 Issued in MD

Practice address

6501 N Charles St
Baltimore, MD 21204-6819

Phone

(410) 938-3000

Fax

(410) 938-4421

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073725347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 ELM RIDGE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295324",
            "telephone_number": "410-242-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3000",
            "fax_number": "410-938-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLETTE",
        "first_name": "ANGELA",
        "middle_name": "MARIBETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11288",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tewodros K Molla, PHARMD
• Rehema Abraham Mollel
• Sarah Kathleen Mollenkopf, MD
• David Robert Moller, M.D.
• Erica D Mollet, LMSW
• Samantha Joy Mollica, MS, RD, LDN
• Thomas Patrick Molloy IV, PA
• Daniel Joseph Mollura, M.D.
• Molock Cares LLC
• Carolyn Boylan Moloney, M.D., PH.D.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.