Boone, Angela M
Boone, Angela M is an sole proprietor health care provider with primary practice located at 308 Gatehouse Ln Unit D , Odenton MD 21113-2689. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Boone, Angela M can be contacted via phone (443) 214-8221.Contact Information
Primary practice address
308 Gatehouse Ln Unit D
Odenton MD 21113-2689
Phone: (443) 214-8221
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904007353 | Virginia |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 16065 | Maryland |
Profile Details
NPI number | 1033406962 |
---|---|
LBN Legal business name | Boone, Angela M |
Credentials | LCSW-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 29th, 2011 |
Last updated | Apr 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033406962 | NPPES |
Maryland | MEDICAID | 420583900 |
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