Angela Carmody, ACSW

Individual provider Active NPI Clinical Social Worker · La Puente, CA

NPI 1386459576 · NPPES record last updated Feb 12, 2025

Key facts

NPI
1386459576
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
125196 (CA)
Practice address
160 S 7TH Ave
La Puente, CA 91746-3211
Phone
(626) 961-8971
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
125196CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 125196 CA Yes

Addresses

Primary practice location

160 S 7TH Ave
La Puente, CA 91746-3211

Mailing address

160 S 7TH Ave
La Puente, CA 91746-3211
Phone (626) 961-8971

Other providers in La Puente, CA

All providers in La Puente, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.