Organization Active NPI

Work Life Behavioral Health and Professional Training LLC

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1235683947
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19300 Issued in MD
Legal business name
WORK LIFE BEHAVIORAL HEALTH AND PROFESSIONAL TRAINING LLC
Practice address
795 Aquahart Rd Ste 229
Glen Burnie, MD 21061-3958
Phone
(410) 487-6052
Fax
(443) 960-4203
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Mrs. Latoya Marie Nkongolo, LCSW-CNPI 1487018354
Title
Owner/Social Worker
Phone
(410) 487-6052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 19300 MD Primary

Addresses

Primary practice location

795 Aquahart Rd Ste 229
Glen Burnie, MD 21061-3958

Mailing address

795 Aquahart Rd Ste 229
Glen Burnie, MD 21061-3958
Phone (410) 487-6052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161206000705 MD Part B Supplier - Clinic/Group Practice 3476833609 Receives reassigned benefits from 2 practitioners
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Locations

7954 Baltimore Annapolis Blvd
Ste 2D
Glen Burnie, MD 21060
Phone (410) 487-6052

7310 Ritchie Hwy
Ste 307
Glen Burnie, MD 21061
Phone (410) 487-6052

795 Aquahart Rd
Ste 229
Glen Burnie, MD 21061
Phone (410) 487-6052

7954 Baltimore Annapolis Blvd
Ste 2C
Glen Burnie, MD 21060
Phone (410) 487-6052

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1235683947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 AQUAHART RD STE 229",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613958",
            "telephone_number": "410-487-6052",
            "fax_number": "443-960-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 AQUAHART RD STE 229",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613958",
            "telephone_number": "410-487-6052",
            "fax_number": "443-960-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK LIFE BEHAVIORAL HEALTH AND PROFESSIONAL TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "NKONGOLO",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "410-487-6052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.