Individual provider Active NPI

Angela Lavery, LCSW, PHD, FT

  • Clinical Social Worker
  • Kennett Square, PA
National Provider Identifier
1184536054
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018979 Issued in PA
Practice address
873 E Baltimore Pike # 1138
Kennett Square, PA 19348-1864
Phone
(610) 947-0925
NPI assigned
Sep 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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 CW018979 PA Primary

Addresses

Primary practice location

873 E Baltimore Pike # 1138
Kennett Square, PA 19348-1864

Mailing address

873 E Baltimore Pike # 1138
Kennett Square, PA 19348-1864
Phone (610) 947-0925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1184536054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 E BALTIMORE PIKE # 1138",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481864",
            "telephone_number": "610-947-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 E BALTIMORE PIKE # 1138",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481864",
            "telephone_number": "610-947-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERY",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD, FT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.