Active NPI
Angela Maddox Andrews, LCSW-A
- Clinical Social Worker
- Morehead City, NC
National Provider Identifier
1063991891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PO12718
- Practice address
- 3820 Bridges St Ste B
Morehead City, NC 28557-2979 - Phone
- (252) 499-9637
- Fax
- (252) 499-9641
- NPI assigned
- Aug 13, 2018
- Last updated
- Aug 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PO12718 | NC | Primary |
Addresses
Primary practice location
3820 Bridges St Ste B
Morehead City, NC 28557-2979
Mailing address
208 E Bogue Sound Dr
Atlantic Beach, NC 28512-5513
Phone (125) 234-2088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO12718 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1063991891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 E BOGUE SOUND DR",
"city": "ATLANTIC BEACH",
"state": "NC",
"postal_code": "285125513",
"telephone_number": "125-234-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 BRIDGES ST STE B",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285572979",
"telephone_number": "252-499-9637",
"fax_number": "252-499-9641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "ANGELA",
"middle_name": "MADDOX",
"credential": "LCSW-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "PO12718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
- Amina Ahmad
- Anchor Aides (Home Helpers of the Crystal Coast)
- Anchorage Counseling, PLLC
- Caroline Anderson, MS, OTR/L
- Ryan Sidney Anderson, PA-C
- Lisa Andrews, LCMHC
- Anita C Pardo
- Antonio M. Carbonell MD PA (Crystal Coast Plastic Surgery)
- Arcadia Health Services, Inc. (Arcadia Health Care)
- Jennifer Ard, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.