Individual provider Active NPI

Angela M Whiteaker, LCSW

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1407455371
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099269 Issued in NY
Practice address
188 Lake Ave Ste 1
Saratoga Springs, NY 12866-2567
Phone
(518) 333-3461
Fax
(518) 516-7617
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 099269 NY Primary

Addresses

Primary practice location

188 Lake Ave Ste 1
Saratoga Springs, NY 12866-2567

Mailing address

188 Lake Ave Ste 1
Saratoga Springs, NY 12866-2567
Phone (518) 333-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250613002083 NY Practitioner - Clinical Social Worker 6305357674

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

135 S Broadway
Saratoga Springs, NY 12866-4532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1407455371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 LAKE AVE STE 1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662567",
            "telephone_number": "518-333-3461",
            "fax_number": "518-516-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LAKE AVE STE 1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662567",
            "telephone_number": "518-333-3461",
            "fax_number": "518-516-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEAKER",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.