Angela Rene Gaston, LCSW
Individual provider Active NPI Clinical Social Worker · Joplin, MO
NPI 1225206451 · NPPES record last updated Feb 8, 2010
Key facts
- NPI
- 1225206451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2007028756 (MO)
- Practice address
- 1230 N Duquesne Rd
Joplin, MO 64801-1509 - Phone
- (417) 782-1443
- Fax
- (417) 782-3240
- NPI assigned
- Feb 11, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- College Skyline Center LLC
Practice addresses (Care Compare)
1230 N Duquesne Rd
Joplin, MO 64801-1509
Phone (417) 782-1443
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20080320000147 | MO | Practitioner - Clinical Social Worker | 2062598733 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Skyline Center LLC | Current |
Accepting new patients |
Locations
1230 N Duquesne Rd
Joplin, MO 64801
Phone (417) 782-1443
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2007028756 | MO | Yes |
Addresses
Primary practice location
1230 N Duquesne Rd
Joplin, MO 64801-1509
Mailing address
1230 N Duquesne Rd
Joplin, MO 64801-1509
Phone (417) 782-1443
Other providers in Joplin, MO
- Justin Craig Garrison
- Caleb Garton
- Erin Flynn Garvert
- Ashley Nicole Gassaway
- Sara L. Gastel
- Gastroenterology of the Four States,LLC
- Donna Jean Gates
- Gateway Emergency Physicians, LLP
- Alisha A Gauss
- Krista Gay
All providers in Joplin, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2010. 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.