Active NPI
Jane Angell, LCSW
- Clinical Social Worker
- Wilson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005356
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Dream Provider Care Services | Clinical | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.