Individual provider Active NPI

Ryan Michael Angelle, LCSW

  • Clinical Social Worker
  • Opelousas, LA
National Provider Identifier
1275975005
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10574 Issued in LA
Practice address
220 S Market St
Opelousas, LA 70570-5140
Phone
(337) 948-0226
Fax
(337) 948-0399
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 10574 LA Primary

Addresses

Primary practice location

220 S Market St
Opelousas, LA 70570-5140

Mailing address

220 S Market St
Opelousas, LA 70570-5140
Phone (337) 948-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20240223001992 LA Practitioner - Clinical Social Worker 2567807050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acadiana Area Human Services DistrictGroup PAC ID 7517198047, 38 clinicians

Practice addresses (Care Compare)

220 S Market St
Opelousas, LA 70570-5140
Phone (337) 948-0226

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District CurrentSince Feb 19, 2024 Accepting new patients
Acadiana Area Human Services District CurrentSince Feb 19, 2024 Accepting new patients
Acadiana Area Human Services District Current Accepting new patients

Locations

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

220 S Market St
Opelousas, LA 70570
Phone (337) 948-0226

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/aahsd/r4/

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1275975005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S MARKET ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705140",
            "telephone_number": "337-948-0226",
            "fax_number": "337-948-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MARKET ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705140",
            "telephone_number": "337-948-0226",
            "fax_number": "337-948-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELLE",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.