Individual provider Active NPI

Angela Huggins

  • Clinical Social Worker
  • Cornelius, NC
National Provider Identifier
1356967277
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014423 Issued in NC
Practice address
19900 S Main St Ste 9
Cornelius, NC 28031-6512
Phone
(704) 892-9490
NPI assigned
Jun 17, 2020
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 P014423 NC Primary

Addresses

Primary practice location

19900 S Main St Ste 9
Cornelius, NC 28031-6512

Mailing address

PO Box 381
Davidson, NC 28036-0381
Phone (704) 892-9490

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
I20220627001948 NC Practitioner - Clinical Social Worker 0749669414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Norman Family Therapy, PLLCGroup PAC ID 3779523014, 2 clinicians

Practice addresses (Care Compare)

19900 S Main St
Suite 8And9
Cornelius, NC 28031-6512
Phone (704) 892-9490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014423NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Norman Family Therapy, PLLC Clinical CurrentSince May 10, 2022 Accepting new patients
Bethany Christian Services of NC PastSince Jun 22, 2021 Accepting new patients

Locations

19900 S Main St
Ste 8
Cornelius, NC 28031

19900 S Main St
Ste 89
Cornelius, NC 28031
Phone (704) 892-9490

19900 S Main St
Ste 9
Cornelius, NC 28031
Phone (704) 892-9490

Organizations & group practices 2

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1356967277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280360381",
            "telephone_number": "704-892-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 S MAIN ST STE 9",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316512",
            "telephone_number": "704-892-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGGINS",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.