Individual provider Active NPI

Angela Whitton, LCSW

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1518596832
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088868 Issued in NY
Practice address
2101 41St Ave
Long Island City, NY 11101-4801
Phone
(929) 269-3373
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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 088868 NY Primary

Addresses

Primary practice location

2101 41St Ave
Long Island City, NY 11101-4801

Mailing address

2101 41St Ave
Long Island City, NY 11101-4801
Phone (929) 269-3373

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.thefloatinghospital.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20211025001218 NY Practitioner - Clinical Social Worker 1759779754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Floating Hospital IncGroup PAC ID 0547367120, 17 clinicians

Practice addresses (Care Compare)

2101 41St Ave
Long Island City, NY 11101-4801
Phone 7187842240144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088868NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Floating Hospital Inc. CurrentSince Sep 9, 2021 Accepting new patients
The Floating Hospital Inc. CurrentSince Sep 9, 2021 Accepting new patients

Locations

1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

2101 41st Ave
Long Island City, NY 11101
Phone (718) 691-6307

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: angela.whitton.1@22829.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1518596832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 41ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014801",
            "telephone_number": "929-269-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 41ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014801",
            "telephone_number": "929-269-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTON",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thefloatinghospital.org",
            "affiliation": "N",
            "address_1": "2101 41st Ave",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111014801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.