Individual provider Active NPI

Angela Tweed, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1255026142
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096010 Issued in NY
Practice address
2381 Hylan Blvd Ste 13
Staten Island, NY 10306-3145
Phone
(800) 277-4680
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 096010 NY Primary

Addresses

Primary practice location

2381 Hylan Blvd Ste 13
Staten Island, NY 10306-3145

Mailing address

2381 Hylan Blvd Ste 13
Staten Island, NY 10306-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260330003312 NJ Practitioner - Clinical Social Worker 4486139284 Reassigns benefits to 1 organization
I20260416001268 NY Practitioner - Clinical Social Worker 4486139284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Phoenix, AZ 85072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096010NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Social Work Services LLC Clinical CurrentSince Aug 13, 2023 Accepting new patients

Locations

2381 Hylan Blvd
Ste 13
Staten Island, NY 10306
Phone (718) 494-2858

Interoperability endpoints

  • Direct secure messaging: angela.tweed@597174495543300.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1255026142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 HYLAN BLVD STE 13",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 HYLAN BLVD STE 13",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063145",
            "telephone_number": "800-277-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEED",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.