Angela Marie Wurst, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021004054 Issued in MO

Practice address

103 Strauss Dr
Park Hills, MO 63601-2400

Phone

(573) 327-9841

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Marie Claywell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Raising a Village, Inc

  dba Raising A Village

  • Counselor
  • Park Hills, MO
  • NPI 1376177444
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1245971258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 BLACK OAK DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407699",
            "telephone_number": "573-366-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 STRAUSS DR",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012400",
            "telephone_number": "573-327-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURST",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021004054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CLAYWELL",
            "middle_name": "MARIE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathan Ryan Werremeyer, ATC
• Sarah Rose Wesbecher
• Melissa West
• Christine C Whitlock, LPC
• Frank Michael Wiley, DDS
• Daniel Lynn Young, D.C.

• Clinical Social Worker in Park Hills, MO
• Providers in Park Hills, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.