Active NPI
Angela Mae McDaniel, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1033348305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4691
- Practice address
- 555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673 - Phone
- (316) 681-1821
- Fax
- (316) 685-0768
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7519 | KS | |
| Clinical Social Worker | 1041C0700X | 4691 | KS | Primary |
Addresses
Primary practice location
555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673
Mailing address
7570 W. 21St St. North
BLDG 1050, Ste E
Wichita, KS 67205
Phone (316) 285-0657
Other names 1
- Angie McDaniel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230621003396 | KS | Practitioner - Clinical Social Worker | 9335507409 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7519 | KS | MD | Social Worker |
| 4691 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Bryant, Lscsw, LLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1376803791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499644800000",
"number": "1033348305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7570 W. 21ST ST. NORTH",
"address_2": "BLDG 1050, STE E",
"city": "WICHITA",
"state": "KS",
"postal_code": "67205",
"telephone_number": "316-285-0657",
"fax_number": "316-260-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N WOODLAWN ST STE 3105",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083673",
"telephone_number": "316-681-1821",
"fax_number": "316-685-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "ANGELA",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2017-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7519",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGIE",
"last_name": "MCDANIEL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.