Active NPI
Larry Shawn Angel
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1487137337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 8081 38TH Ave N
St Petersburg, FL 33710-1029 - Phone
- (727) 345-2667
- Fax
- (727) 209-2667
- NPI assigned
- Sep 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | FL | Primary |
Addresses
Primary practice location
8081 38TH Ave N
St Petersburg, FL 33710-1029
Mailing address
8081 38TH Ave N
St Petersburg, FL 33710-1029
Phone (727) 345-2667
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Costello Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Saint Petersburg, FL
- NPI 1386889145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1487137337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8081 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101029",
"telephone_number": "727-345-2667",
"fax_number": "727-209-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8081 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101029",
"telephone_number": "727-345-2667",
"fax_number": "727-209-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "LARRY",
"middle_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.