Individual provider Active NPI

Angela Patrice Day, LCSW

  • Clinical Social Worker
  • Subiaco, AR
National Provider Identifier
1073747531
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22416-C Issued in AR
Practice address
120 Stapleton LN
Subiaco, AR 72865-9187
Phone
(907) 715-4523
NPI assigned
May 12, 2009
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22416-C AR Primary

Addresses

Primary practice location

120 Stapleton LN
Subiaco, AR 72865-9187

Mailing address

120 Stapleton LN
Subiaco, AR 72865-9187
Phone (907) 715-4523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241204003945 PA Practitioner - Clinical Social Worker 9032645734 Reassigns benefits to 1 organization
I20250417001364 AR Practitioner - Clinical Social Worker 9032645734 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22416-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health, PLLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Clarity Pathways Counseling Services, LLC Clinical CurrentSince Feb 26, 2025 Accepting new patients
Mental Health Specialty Group PA Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Oslc Community Programs PastSince Jan 1, 2021 Accepting new patients

Locations

16 Water St
Ste 101
Everett, PA 15537
Phone (814) 283-5535

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1073747531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STAPLETON LN",
            "city": "SUBIACO",
            "state": "AR",
            "postal_code": "728659187",
            "telephone_number": "907-715-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STAPLETON LN",
            "city": "SUBIACO",
            "state": "AR",
            "postal_code": "728659187",
            "telephone_number": "907-715-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "ANGELA",
        "middle_name": "PATRICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "22416-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Subiaco, AR

Sources for this page

Verify at the official NPI Registry.