Individual provider Active NPI

Angeline Duane, LCSW

  • Clinical Social Worker
  • Creve Coeur, MO
National Provider Identifier
1265246839
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2009009536 Issued in MO
Practice address
12101 Woodcrest Executive Dr Ste 103
Creve Coeur, MO 63141-5047
Phone
(314) 983-9355
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 2009009536 MO Primary

Addresses

Primary practice location

12101 Woodcrest Executive Dr Ste 103
Creve Coeur, MO 63141-5047

Mailing address

12101 Woodcrest Executive Dr Ste 103
Creve Coeur, MO 63141-5047

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2009009536MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Health LLP CurrentSince Feb 9, 2025 Accepting new patients

Locations

12101 Woodcrest Executive Dr
Ste 103
Saint Louis, MO 63141
Phone (314) 983-9355

Organizations & group practices 1

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1265246839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR STE 103",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR STE 103",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415047",
            "telephone_number": "314-983-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUANE",
        "first_name": "ANGELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009009536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.