Individual provider Active NPI

Jane Angell, LCSW

  • Clinical Social Worker
  • Wilson, NC
National Provider Identifier
1336249846
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005356 Issued in NC
Practice address
2693 Forest Hills Rd SW Ste D
Wilson, NC 27893-8611
Phone
(252) 234-7800
Fax
(252) 234-7830
NPI assigned
Sep 24, 2006
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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 C005356 NC Primary

Addresses

Primary practice location

2693 Forest Hills Rd SW Ste D
Wilson, NC 27893-8611

Mailing address

350 Pee Dee Ave
Albemarle, NC 28001-4932
Phone (252) 234-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070210000008 NC Practitioner - Clinical Social Worker 9537115241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Dream Provider Care ServicesGroup PAC ID 3971662636, 5 clinicians

Practice addresses (Care Compare)

216 Stewart Pkwy
Washington, NC 27889-4972
Phone (252) 946-0585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Mar 16, 2014 Accepting new patients
Monarch CurrentSince Mar 16, 2014 Accepting new patients
Dream Provider Care Services Clinical CurrentSince Aug 26, 2017 Accepting new patients
Valley Behavioral Health Incorporated Clinical Past Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

809 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 442-0333

216 Stewart Pkwy
Washington, NC 27889
Phone (252) 341-4497

2693 Forest Hills Rd SW
Ste D
Wilson, NC 27893
Phone (252) 234-7800

Interoperability endpoints

  • Direct secure messaging: dreamprovidercareservicesinc.janeangell@158148.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1336249846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PEE DEE AVE",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014932",
            "telephone_number": "252-234-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 FOREST HILLS RD SW STE D",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938611",
            "telephone_number": "252-234-7800",
            "fax_number": "252-234-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.