Active NPI
Angel Lara McCord, LCSW-C
- Clinical Social Worker
- Lutherville Timonium, MD
National Provider Identifier
1174757975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18705
- Practice address
- 1615 York Rd Ste 300
Lutherville Timonium, MD 21093-5639 - Phone
- (443) 470-9297
- NPI assigned
- May 7, 2009
- Last updated
- Nov 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18705 | MD | Primary |
Addresses
Primary practice location
1615 York Rd Ste 300
Lutherville Timonium, MD 21093-5639
Mailing address
5216 Torrington Cir
Rosedale, MD 21237-4911
Phone (570) 847-8821
Other practice location 1
3615 E Joppa Rd Ste 270
Parkville, MD 21234
Phone (410) 220-6510
Other names 1
- Mrs. Angel Lara Bettleyon
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Wellness of Maryland | Clinical | Current | Accepting new patients |
Locations
1615 York Rd
Ste 300
Lutherville Timonium, MD 21093
Phone (443) 470-9297
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Lutherville, MD
- NPI 1487010021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1174757975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5216 TORRINGTON CIR",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212374911",
"telephone_number": "570-847-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 YORK RD STE 300",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210935639",
"telephone_number": "443-470-9297"
}
],
"practiceLocations": [
{
"address_1": "3615 E Joppa Rd Ste 270",
"address_purpose": "LOCATION",
"city": "Parkville",
"state": "MD",
"postal_code": "21234",
"country_code": "US",
"telephone_number": "410-220-6510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORD",
"first_name": "ANGEL",
"middle_name": "LARA",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "18705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGEL",
"last_name": "BETTLEYON",
"middle_name": "LARA",
"prefix": "MRS.",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.