Shona Angle, MSW LCSW
Individual provider Active NPI Clinical Social Worker · Glencoe, IL
NPI 1194891952 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194891952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 755 Greenwood Avenue
Glencoe, IL 60022 - Phone
- (847) 835-1078
- NPI assigned
- Nov 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
755 Greenwood Ave
Glencoe, IL 60022-1514
755 Grenwood
Glencoe, IL 60022-1514
Phone (847) 835-1078
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110408000733 | IL | Practitioner - Clinical Social Worker | 3870777287 | Practice locations: Glencoe, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149002349 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Yes |
Addresses
Primary practice location
755 Greenwood Avenue
Glencoe, IL 60022
Mailing address
755 Greenwood Avenue
Glencoe, IL 60022
Phone (847) 835-1078
NPI Registry JSON
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194891952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 GREENWOOD AVENUE",
"city": "GLENCOE",
"state": "IL",
"postal_code": "60022",
"telephone_number": "847-835-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 GREENWOOD AVENUE",
"city": "GLENCOE",
"state": "IL",
"postal_code": "60022",
"telephone_number": "847-835-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGLE",
"first_name": "SHONA",
"name_prefix": "Mrs.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glencoe, IL
- Victoria Aron
- Associates in Adolescent Psychiatry SC
- Tara Alisabeth Bagnola
- Julie Bendix
- Kimberly Berka
All providers in Glencoe, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.