Angel Damara, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6129 Issued in OR

Practice address

1907 Linda LN
La Grande, OR 97850-3339

Phone

(503) 754-8941

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Indigo Counseling LLC

  • Clinical Social Worker
  • La Grande, OR
  • NPI 1871313254
  NPD Authorized official
• Center for Human Development, Inc

  • Public Health or Welfare Agency
  • La Grande, OR
  • NPI 1154455350
  NPD (past)
• Center for Human Development, Inc.

  • Community/Behavioral Health Agency
  • La Grande, OR
  • NPI 1114051315
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1568598498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 LINDA LN",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503339",
            "telephone_number": "503-754-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 LINDA LN",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503339",
            "telephone_number": "503-754-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMARA",
        "first_name": "ANGEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Crandall
• Lindsay Crawford, NP-PP
• Sean Michael Crews
• Mark Sterling Cumpton
• Nancy Dake, LMT
• Eva May Darrow, LMT
• Brooke Davis, DO
• Troy Davis
• Alisha Delatori
• Michael Glenn Dempsey, R.PH.

• Clinical Social Worker in La Grande, OR
• Providers in La Grande, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.