Individual provider Active NPI

Angela Marie McPheeters, LMSW

  • Social Worker
  • Liverpool, NY
National Provider Identifier
1407736564
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
128134-01 Issued in NY
Practice address
890 7TH North St Ste 100&200
Liverpool, NY 13088-6558
Phone
(315) 836-7567
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 128134-01 NY Primary

Addresses

Primary practice location

890 7TH North St Ste 100&200
Liverpool, NY 13088-6558

Mailing address

890 7TH North St Ste 100&200
Liverpool, NY 13088-6558
Phone (315) 836-7567

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128134-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407736564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 7TH NORTH ST STE 100&200",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886558",
            "telephone_number": "315-836-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 7TH NORTH ST STE 100&200",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886558",
            "telephone_number": "315-836-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHEETERS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "128134-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.