Angela Maria Hansen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18567 Issued in FL

Practice address

6219 Woodhaven Village Drive
Port Orange, FL 32128

Phone

(786) 393-0315

Fax

(786) 396-9605

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Ebenezer Wellness Center IncGroup PAC ID 2668860248, 5 clinicians

My Angel Therapy'S Corp.Group PAC ID 9537694096, 4 clinicians

Golden Medical Diagnostic IncGroup PAC ID 3375935661, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (15 of 16)

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ebenezer Wellness Center Inc

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1265007207
  Medicare reassignment Care Compare group NPD
• Golden Medical Diagnostic Inc

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
  • NPI 1497340319
  Medicare reassignment Care Compare group NPD
• My Angel Therapy'S Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1205664729
  Medicare reassignment Care Compare group NPD
• Estrella Health Medical Center Inc

  • Psychiatry Physician
  • Miami, FL
  • NPI 1710576988
  Medicare reassignment NPD
• Homestead Behavior Health Plus LLC

  • Community/Behavioral Health Agency
  • Homestead, FL
  • NPI 1649890013

  Behavior Analyst

  Medicare reassignment NPD
• My Mental Health Solutions

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1487247409
  Medicare reassignment NPD
• Simon Health Medical Center, Inc

  • Psychiatry Physician
  • Miami, FL
  • NPI 1629615133
  Medicare reassignment NPD
• Adonai Medical Center, Inc.

  • Family Medicine Physician
  • Doral, FL
  • NPI 1023828530
  NPD Authorized official
• Golden Mind Mental Health LLC.

  • Psychiatry Physician
  • Pembroke Pines, FL
  • NPI 1972485266
  Medicare reassignment
• Harmony Behavior Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Coral, FL
  • NPI 1821863119
  Medicare reassignment
• The Golden Age Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Coral, FL
  • NPI 1497649032
  Medicare reassignment
• Top Lifecare Solutions Inc.

  • General Practice Physician
  • Miami, FL
  • NPI 1669278271
  Medicare reassignment

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1235685181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 WOODHAVEN VILLAGE DRIVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32128",
            "telephone_number": "786-393-0315",
            "fax_number": "786-396-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6219 WOODHAVEN VILLAGE DRIVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32128",
            "telephone_number": "786-393-0315",
            "fax_number": "786-396-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacee Hampshire
• Casey Hampton
• Gemy A Hana, PHARMACIST
• Kati Hanna
• Kate Hanrahan
• Spencer Hansen
• Trevor Arthur Hansen, MSW
• Larissa W Hanson, D.M.D.
• Happiness Life Center, Inc
• Dannielle Harden

• Clinical Social Worker in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.