Active NPI
Angela Madison Mohamed, LMSW
- Clinical Social Worker
- Forest Hills, NY
National Provider Identifier
1538744693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114308
- Practice address
- 10470 Queens Blvd FL 2
Forest Hills, NY 11375-3638 - Phone
- (718) 275-6010
- NPI assigned
- Mar 10, 2021
- Reactivated
- Oct 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 114308 | NY | Primary |
Addresses
Primary practice location
10470 Queens Blvd FL 2
Forest Hills, NY 11375-3638
Mailing address
44 Lewis CT
Huntington Station, NY 11746-1113
Phone (917) 273-0267
Other practice location 1
2784 E 12th St Apt 4A
Brooklyn, NY 11235-4604
Phone (718) 635-3928
Other names 1
- Angela Madison Bhowal
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 |
|---|---|---|---|
| 114308 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Counseling Center Inc | 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 Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1538744693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 LEWIS CT",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117461113",
"telephone_number": "917-273-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 QUEENS BLVD FL 2",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753638",
"telephone_number": "718-275-6010"
}
],
"practiceLocations": [
{
"address_1": "2784 E 12th St Apt 4A",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112354604",
"country_code": "US",
"telephone_number": "718-635-3928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMED",
"first_name": "ANGELA",
"middle_name": "MADISON",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"deactivation_date": "2021-08-24",
"reactivation_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "114308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "BHOWAL",
"middle_name": "MADISON",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.