Individual provider Active NPI

Christine Nicole Coyle, LCSW-C

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1104965128
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13745 Issued in MD
Practice address
170 Jennifer Rd Ste 202
Annapolis, MD 21401-7909
Phone
(410) 291-8092
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 13745 MD Primary

Addresses

Primary practice location

170 Jennifer Rd Ste 202
Annapolis, MD 21401-7909

Mailing address

170 Jennifer Rd Ste 202
Annapolis, MD 21401-7909
Phone (443) 291-8092

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10320 Winners Circle Way
Laurel, MD 20723-5739

170 Jennifer Rd
Suite 202
Annapolis, MD 21401-7092

170 Jennifer Rd
Suite 202
Annapolis, MD 21401-7909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13745MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Hope Therapy, LLC Clinical PastSince May 18, 2026 Accepting new patients

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1104965128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 JENNIFER RD STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017909",
            "telephone_number": "443-291-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 JENNIFER RD STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017909",
            "telephone_number": "410-291-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "CHRISTINE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.