Angela Dyke

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1.2405366 Issued in OH

Practice address

602 Chillicothe St Ste M104
Portsmouth, OH 45662-4039

Phone

(740) 935-1076

Fax

(740) 876-4048

NPI assigned

Jan 17, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shawnee Counseling Center LLC

  • Substance Abuse Rehabilitation Facility
  • Portsmouth, OH
  • NPI 1033695051
  Medicare reassignment NPD
• Southern Ohio Behavioral Health Services

  • Social Worker
  • Portsmouth, OH
  • NPI 1902773039
  NPD Authorized official
• Shawnee Counseling Center LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1780278705
  NPD
• Pike County Recovery Council Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waverly, OH
  • NPI 1760742993
  NPD (past)

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1437667045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624531",
            "telephone_number": "740-529-7356",
            "fax_number": "740-529-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CHILLICOTHE ST STE M104",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624039",
            "telephone_number": "740-935-1076",
            "fax_number": "740-876-4048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 Hunting Run Rd",
            "address_purpose": "LOCATION",
            "city": "Lucasville",
            "state": "OH",
            "postal_code": "456489524",
            "country_code": "US",
            "telephone_number": "740-935-1076",
            "fax_number": "740-876-4048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYKE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1.2405366",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161914",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437667045",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Dunfee
• Alexis Dunigan
• Rocky Dunkin
• Miranda Kay Dunn, BS
• Staci Lee Dyer
• Danette S Dyke, RN
• Brandon Ealey
• Carol Easter, LSW
• Paul Eckert
• Kristin M Edwards, QMHS

• Social Worker in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.