Active NPI
Angela Anjelique Harris, LSW
- Social Worker
- Struthers, OH
National Provider Identifier
1497963920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0500621
- Practice address
- 420 Youngstown Poland Rd
Struthers, OH 44471-1058 - Phone
- (330) 755-2147
- Fax
- (330) 755-2846
- NPI assigned
- May 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S0500621 | OH | Primary |
Addresses
Primary practice location
420 Youngstown Poland Rd
Struthers, OH 44471-1058
Mailing address
3171 Leo Ave
Youngstown, OH 44509-1051
Phone (330) 779-3929
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 |
|---|---|---|---|
| S0500621 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Counseling Services, Inc. | Past | Accepting new patients | |
| Compass Family and Community Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Warren, OH
- NPI 1083054506
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
- NPI 1043274426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497963920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3171 LEO AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445091051",
"telephone_number": "330-779-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 YOUNGSTOWN POLAND RD",
"city": "STRUTHERS",
"state": "OH",
"postal_code": "444711058",
"telephone_number": "330-755-2147",
"fax_number": "330-755-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ANGELA",
"middle_name": "ANJELIQUE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0500621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Struthers, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.