Individual provider Active NPI

Angela M. Greenhalgh, LCSW

  • Clinical Social Worker
  • Massapequa Park, NY
National Provider Identifier
1508088493
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R031774-1 Issued in NY
Practice address
178 Whitewood Drive
Massapequa Park, NY 11762
Phone
(516) 795-7369
Fax
(516) 795-7777
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R031774-1 NY Primary

Addresses

Primary practice location

178 Whitewood Drive
Massapequa Park, NY 11762

Mailing address

178 Whitewood Drive
Massapequa Park, NY 11762
Phone (516) 795-7369

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R031774-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508088493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 WHITEWOOD DRIVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-795-7369",
            "fax_number": "516-795-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 WHITEWOOD DRIVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-795-7369",
            "fax_number": "516-795-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHALGH",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031774-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

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.

Verify at the official NPI Registry.