Provider Demographics
NPI:1346132354
Name:GREENWOOD, ANGELA DALE (LMSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:DALE
Last Name:GREENWOOD
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 1:519 N MECHANIC ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2133
Mailing Address - Country:US
Mailing Address - Phone:301-777-9600
Mailing Address - Fax:
Practice Address - Street 1:519 N MECHANIC ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2133
Practice Address - Country:US
Practice Address - Phone:301-777-9600
Practice Address - Fax:301-245-6746
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD33464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional