LULA MOULTRIE HEATLEY (NPI# 1164702098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164702098 |
| Entity Type | Individual |
| Full Name | LULA MOULTRIE HEATLEY |
| Credential | LCSW-C |
| Practice Address |
4640 Edmondson Ave Baltimore MD 21229-1407 |
| Practice Telephone | 4439199999 |
| Practice Fax Number | 4437569047 |
| Mailing Telephone | 4439199999 |
| Mailing Fax Number | 4437569047 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
16665 | MD | Behavioral Health & Social Service Providers |
| Street Address |
4640 EDMONDSON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942519202 | Win Team, LLC | Counselor | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2010-10-04 |
| 1912553785 | Win Team, LLC | Clinic/Center | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2019-08-16 |
| 1063963007 | Win Team, LLC | Community/Behavioral Health | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2016-10-14 |
| 1316351596 | Erin J Richardson | Counselor | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2014-06-17 |
| 1407133044 | Win Team, LLC | Case Management | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2011-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.