Individual provider Active NPI

Angela Sisler, LCSW-C

  • Clinical Social Worker
  • Oakland, MD
National Provider Identifier
1972133882
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22080 Issued in MD
Practice address
69 Wolf Acres Dr
Oakland, MD 21550-2046
Phone
(301) 533-2190
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00944892 WV
Clinical Social Worker 1041C0700X 22080 MD Primary

Addresses

Primary practice location

69 Wolf Acres Dr
Oakland, MD 21550-2046

Mailing address

PO Box 82
MC Henry, MD 21541-0082
Phone (681) 231-3750

Other practice location 1

251 N 4th St
Oakland, MD 21550-1375
Phone (301) 533-4514

Other practice location 2

100 Pin Oak Ln
Keyser, WV 26726-5908
Phone (304) 597-3500

Other practice location 3

1027 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 533-3300 ext. 3081

Other names 1

  • Angela Mathias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200601000937 MD Practitioner - Clinical Social Worker 5597186445 Reassigns benefits to 1 organization
I20210527001943 WV Practitioner - Clinical Social Worker 5597186445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
West Virginia University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Maryland Health Care CorporationGroup PAC ID 9436152493, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

1027 Memorial Dr
Oakland, MD 21550-4343
Phone 30153333003081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00944892WVMDSocial Worker
22080MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Maryland Health Care Corporation CurrentSince Aug 30, 2021 Accepting new patients
Western Maryland Health Care Corporation CurrentSince Aug 30, 2021 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients

Locations

104 Parkview Dr
Grantsville, MD 21536
Phone (301) 895-5107

1027 Memorial Dr
Oakland, MD 21550
Phone (301) 533-3300

22221 Westernport Rd SW
Westernport, MD 21562
Phone (240) 774-0204

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

Organizations & group practices 4

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1972133882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "MC HENRY",
            "state": "MD",
            "postal_code": "215410082",
            "telephone_number": "681-231-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WOLF ACRES DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215502046",
            "telephone_number": "301-533-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215501375",
            "country_code": "US",
            "telephone_number": "301-533-4514",
            "fax_number": "301-533-4314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Pin Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Keyser",
            "state": "WV",
            "postal_code": "267265908",
            "country_code": "US",
            "telephone_number": "304-597-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215504343",
            "country_code": "US",
            "telephone_number": "301-533-3300 x3081",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISLER",
        "first_name": "ANGELA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00944892",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MATHIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.