Active NPI
Angela White, LCSW BACS
- Clinical Social Worker
- Shreveport, LA
National Provider Identifier
1558713438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11839
- Practice address
- 7330 Fern Ave Ste 204
Shreveport, LA 71105-4973 - Phone
- (318) 216-3239
- Fax
- (318) 368-1155
- NPI assigned
- Jul 5, 2016
- Last updated
- Apr 21, 2024
- 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 | 11839 | LA | Primary |
Addresses
Primary practice location
7330 Fern Ave Ste 204
Shreveport, LA 71105-4973
Mailing address
9315 Midvale Dr
Shreveport, LA 71118-3554
Phone (318) 751-0802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607003167 | LA | Practitioner - Clinical Social Worker | 4385022193 | Practice locations: Shreveport, LA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela B. White, LCSW Bacs | Clinical | Current | Accepting new patients |
Locations
7330 Fern Ave
Ste 204
Shreveport, LA 71105
Phone (318) 216-3239
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beauty for Ashes Therapeutic Services, LLC
- Clinical Social Worker
- Shreveport, LA
- NPI 1942055967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713657600000",
"number": "1558713438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 MIDVALE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183554",
"telephone_number": "318-751-0802",
"fax_number": "318-751-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 FERN AVE STE 204",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054973",
"telephone_number": "318-216-3239",
"fax_number": "318-368-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ANGELA",
"credential": "LCSW BACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2024-04-21",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "11839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.