Individual provider Active NPI

Angela Rita-Farias, LCSW, LP

  • Clinical Social Worker
  • Peekskill, NY
National Provider Identifier
1003099680
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070978 Issued in NY
Practice address
1 Oakwood Drive Suite 19
Peekskill, NY 10566-1921
Phone
(646) 241-2063
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000822 NY
Clinical Social Worker 1041C0700X 070978 NY Primary

Addresses

Primary practice location

1 Oakwood Drive Suite 19
Peekskill, NY 10566-1921

Mailing address

3004 Samosa Hill Cir
Clermont, FL 34714-4935
Phone (646) 241-2063

Other identifiers 1

IdentifierTypeStateIssuer
070978-1OtherNYLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000072 NY Practitioner - Clinical Social Worker 6608957865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000822NYMDPsychoanalyst
070978NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Rita-Farias LCSW PLLC Clinical CurrentSince May 23, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1003099680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 SAMOSA HILL CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347144935",
            "telephone_number": "646-241-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD DRIVE SUITE 19",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105661921",
            "telephone_number": "646-241-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITA-FARIAS",
        "first_name": "ANGELA",
        "credential": "LCSW, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000822",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "070978-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.