Individual provider Active NPI

Angelica Damore, DSW, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1295949873
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 23002 Issued in CA
Practice address
8050 N Palm Ave Ste 300
Fresno, CA 93711-5510
Phone
(559) 225-6100
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 LCSW 23002 CA Primary

Addresses

Primary practice location

8050 N Palm Ave Ste 300
Fresno, CA 93711-5510

Mailing address

8050 N Palm Ave Ste 300
Fresno, CA 93711-5510
Phone (559) 272-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210921000843 CA Practitioner - Clinical Social Worker 4284030131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 23002CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate You Counseling, a Licensed Clinical Social Worker PC Clinical CurrentSince Jan 15, 2021 Accepting new patients

Locations

8050 N Palm Ave
Ste 300
Fresno, CA 93711
Phone (559) 272-4110

1099 E Champlain Dr
Ste A233
Fresno, CA 93720

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1295949873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 N PALM AVE STE 300",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115510",
            "telephone_number": "559-272-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 N PALM AVE STE 300",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115510",
            "telephone_number": "559-225-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMORE",
        "first_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 23002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.