Provider Demographics
NPI:1093387433
Name:NOLAND, ANGELA FLETA (LMSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:FLETA
Last Name:NOLAND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11460 SAINT MARTHA CT APT 305
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-4207
Mailing Address - Country:US
Mailing Address - Phone:301-974-2402
Mailing Address - Fax:
Practice Address - Street 1:11460 SAINT MARTHA CT APT 305
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-4207
Practice Address - Country:US
Practice Address - Phone:301-974-2402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25514104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker