Angela Teresa Dudley Hamilton, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4492 Issued in MD

Practice address

11415 Old Pond Drive
Glenn Dale, MD 20769

Phone

(202) 746-4345

NPI assigned

Jun 22, 2012

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

Other names 1

• Ms. Angela Teresa Dudley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Legacy Family Services, LLC

  • Professional Counselor
  • Glenn Dale, MD
  • NPI 1770180838
  NPD Authorized official

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1881957934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 OLD POND DRIVE",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "20769",
            "telephone_number": "202-746-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 OLD POND DRIVE",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "20769",
            "telephone_number": "202-746-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY HAMILTON",
        "first_name": "ANGELA",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14272",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DUDLEY",
            "middle_name": "TERESA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Elizabeth Docktor, PA-C
• Noela Njenu Doh, MD
• Drug Hut
• Drug Hut
• Drug Hut
• Dana S. Duncan, CRNP
• Dora Brown Durante, LCPC
• Angela Lynnette Ealy, LICSW, LCSW-C
• Bankole Oludare Edun, HHA
• Vonetta Edwards, RDMS

• Professional Counselor in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Professional Counselor in Maryland

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

Verify at the official NPI Registry.