Angela Lea Beidelman, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18113 Issued in FL

Practice address

1350 Hickory St
Melbourne, FL 32901-3278

Phone

(321) 434-7000

NPI assigned

Jun 14, 2019

Last updated

May 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1376103101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 BELLALUNA DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043101",
            "telephone_number": "850-284-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013278",
            "telephone_number": "321-434-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Bellaluna Dr",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "329043101",
            "country_code": "US",
            "telephone_number": "850-284-9822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIDELMAN",
        "first_name": "ANGELA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW13211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul James Befanis, M.D.
• Susan Begley, LMHC
• Behavioral Medicine & Psychotherapy LLC
• Zachary Behlok, RBT
• Shawn Oliver Behrmann
• Marigny Joanna Beilman, APRN
• Evan Micah Bekes
• Juan Manuel Bel, M.D.
• Autumn Blair Belahmer, LCSW
• Belinda E. Dickinson, M.D., P.a.

• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.