Angela Rose Tyrone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3900 Issued in LA

Practice address

28315 S. Frost Rd.
Livingston, LA 70754

Phone

(225) 283-1356

Fax

(225) 686-2962

NPI assigned

Aug 16, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1154679512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 HEWITT RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036002",
            "telephone_number": "985-902-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28315 S. FROST RD.",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "225-283-1356",
            "fax_number": "225-686-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Hewitt Rd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704036002",
            "country_code": "US",
            "telephone_number": "985-902-7643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYRONE",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2021-01-22",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madisyn Wascom, M.S., L-SLP, CCC-SLP
• Ashley Robertson Watts, LOTR

• Clinical Social Worker in Livingston, LA
• Providers in Livingston, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.