Individual provider Active NPI

Angelique Caley, LCSW

  • Clinical Social Worker
  • Lynchburg, VA
National Provider Identifier
1588932149
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010940 Issued in VA
Practice address
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone
(434) 200-5999
NPI assigned
Dec 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904010940 VA Primary
Clinical Social Worker 1041C0700X 080295 NY

Addresses

Primary practice location

3300 Rivermont Ave
Lynchburg, VA 24503-2030

Mailing address

3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-5999

Other practice location 1

330 Delaware Ave
Buffalo, NY 14202-1804
Phone (716) 681-5718

Other practice location 2

2215 Langhorne Rd
Lynchburg, VA 24501-1121
Phone (434) 455-3418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190807002787 VA Practitioner - Clinical Social Worker 7618106394 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080295NYMDClinical Social Worker
0904010940VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health CurrentSince Feb 24, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000

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": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1588932149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032030",
            "telephone_number": "434-200-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032030",
            "telephone_number": "434-200-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142021804",
            "country_code": "US",
            "telephone_number": "716-681-5718",
            "fax_number": "716-881-0652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Langhorne Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011121",
            "country_code": "US",
            "telephone_number": "434-455-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALEY",
        "first_name": "ANGELIQUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010940",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.