Active NPI
Martha B Angelo, LICSW
- Clinical Social Worker
- Norwood, MA
National Provider Identifier
1215331483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105120
- Practice address
- 800 Washington St
Norwood, MA 02062-3487 - Phone
- (781) 278-6670
- Fax
- (781) 278-6688
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105120 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Norwood, MA 02062-3487
Mailing address
800 Washington St
Norwood, MA 02062-3487
Phone (781) 278-6670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659684348 | Other | MA | STEWARD NORWOOD HOSPITAL NPI # (WHERE I WORK) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105120 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1215331483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623487",
"telephone_number": "781-278-6670",
"fax_number": "781-278-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623487",
"telephone_number": "781-278-6670",
"fax_number": "781-278-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELO",
"first_name": "MARTHA",
"middle_name": "B",
"name_prefix": "Miss",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "105120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STEWARD NORWOOD HOSPITAL NPI # (WHERE I WORK)",
"identifier": "1659684348",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.