Individual provider Active NPI

Angela Nicole Rotz

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1538729900
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25821 Issued in MD
Practice address
860 Pennsylvania Ave Ste 101
Hagerstown, MD 21742-3104
Phone
(717) 360-8153
NPI assigned
Jun 18, 2019
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW0913 PA
Clinical Social Worker 1041C0700X 25821 MD Primary

Addresses

Primary practice location

860 Pennsylvania Ave Ste 101
Hagerstown, MD 21742-3104

Mailing address

860 Pennsylvania Ave Ste 101
Hagerstown, MD 21742-3104
Phone (717) 360-8153

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.rotz@prevailbehavioralhealth.com Direct

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0913PAMDMental Health Counselor
25821MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prevail Behavioral Health LLC Clinical CurrentSince Oct 12, 2025 Accepting new patients

Locations

860 Pennsylvania Ave
Ste 101
Hagerstown, MD 21742
Phone (717) 360-8153

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1538729900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PENNSYLVANIA AVE STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423104",
            "telephone_number": "717-360-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PENNSYLVANIA AVE STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423104",
            "telephone_number": "717-360-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTZ",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW0913",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.rotz@prevailbehavioralhealth.com",
            "affiliation": "N",
            "endpointDescription": "Outpatient Therapy Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "860 Pennsylvania Ave Ste 101",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217423104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.