Angela Marie Overholt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019395 Issued in IL

Practice address

700 S Gregory St Ste a
Urbana, IL 61801-3622

Phone

(217) 351-4796

Fax

(217) 607-5432

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dulski Counseling, LLCGroup PAC ID 6608362736, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dulski Counseling, LLC

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1902777659

  Clinical

  Medicare reassignment Care Compare group NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  Medicare reassignment

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1144731316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CLIFFORD DR APT 7",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026815",
            "telephone_number": "217-840-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S GREGORY ST STE A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013622",
            "telephone_number": "217-351-4796",
            "fax_number": "217-607-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERHOLT",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismail Olusayo Oshogwemoh, D.O.
• Oluwabusayo Monsurat Osundiji
• Devon Oswald, DO
• Bomina Otto, APRN
• Mark Overby, MD
• Kiley Ann Owen, PA
• Amy Lynn Oye, PHARM D
• Joanna Oyer, LCSW
• Nanci Anne Ozment, CRNA
• Chioma Ugochinyere Ozoalor, M.D.

• Clinical Social Worker in Urbana, IL
• Providers in Urbana, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.