Active NPI
Angela Larae Brones, LCSW
- Clinical Social Worker
- Iowa City, IA
National Provider Identifier
1457085789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149026772
- Practice address
- 601 Highway 6 W
Iowa City, IA 52246-2209 - Phone
- (319) 338-0581
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 113869 | IA | |
| Clinical Social Worker | 1041C0700X | 149026772 | IL | Primary |
Addresses
Primary practice location
601 Highway 6 W
Iowa City, IA 52246-2209
Mailing address
3815 15TH Street a
Moline, IL 61265-6210
Phone (773) 706-3836
Other practice location 1
2525 24th St
Rock Island, IL 61201-5395
Phone (309) 779-5044
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
| License | State | Type | Specialty |
|---|---|---|---|
| 113869 | IA | MD | Social Worker |
| 149026772 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1457085789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 15TH STREET A",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656210",
"telephone_number": "773-706-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462209",
"telephone_number": "319-338-0581"
}
],
"practiceLocations": [
{
"address_1": "2525 24th St",
"address_purpose": "LOCATION",
"city": "Rock Island",
"state": "IL",
"postal_code": "612015395",
"country_code": "US",
"telephone_number": "309-779-5044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRONES",
"first_name": "ANGELA",
"middle_name": "LARAE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "113869",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149026772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.