Provider Demographics
NPI:1982241048
Name:FOSTER, ANGELA MCCOMBER (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MCCOMBER
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5208 TAKACH RD
Mailing Address - Street 2:
Mailing Address - City:PRINCE GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23875-2429
Mailing Address - Country:US
Mailing Address - Phone:804-926-5298
Mailing Address - Fax:
Practice Address - Street 1:5208 TAKACH RD
Practice Address - Street 2:
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875-2429
Practice Address - Country:US
Practice Address - Phone:804-926-5298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-06
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD301021041C0700X
VA09040102441041C0700X
FL160141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical