Angela Floyd, LCSW, CHT
Individual provider Active NPI Clinical Social Worker · Tupelo, MS
NPI 1598026353 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1598026353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C6144 (MS)
- Practice address
- 499 Gloster Creek VLG Ste D1
Tupelo, MS 38801-4753 - Phone
- (662) 690-8007
- Fax
- (662) 842-4653
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Family Health Services, Inc.
Practice addresses (Care Compare)
499 Gloster Creek VLG
D1
Tupelo, MS 38801-4753
Phone (662) 690-8007
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190708000940 | MS | Practitioner - Clinical Social Worker | 3173858560 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Health Services, Inc. | Current |
Accepting new patients | |
| Access Family Health Services, Inc. | Current | Accepting new patients | |
| Access Family Health Services, Inc. | Current |
Accepting new patients |
Locations
106 Walker St
Houlka, MS 38850
Phone (662) 568-3316
182 W Main St
Nettleton, MS 38858
Phone (662) 963-3634
60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637
499 Gloster Creek Vlg
Ste D1
Tupelo, MS 38801
Phone (662) 690-8007
Interoperability endpoints
- angela.floyd.3@14756.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C6144 | MS | Yes |
Addresses
Primary practice location
499 Gloster Creek VLG Ste D1
Tupelo, MS 38801-4753
Mailing address
499 Gloster Creek VLG Ste D1
Tupelo, MS 38801-4753
Phone (662) 690-8007
Other practice location 1
1375 County Road 1451
Mooreville, MS 38857-7205
Phone (662) 266-0094
Other practice location 2
60021 Monroe St
Smithville, MS 38870-7779
Phone (662) 651-4637
Other practice location 3
12725 Highway 23 N
Tremont, MS 38876-8735
Phone (662) 652-3361
Other practice location 4
106 Walker St
Houlka, MS 38850-9453
Phone (662) 568-3316
Other practice location 5
182 W Main St
Nettleton, MS 38858-6075
Phone (662) 963-5050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05174088 | Medicaid | MS |
Other providers in Tupelo, MS
- Liza Fletcher
- Mark H. Fletcher
- Chasity Brooke Flournoy
- Harvey Flowers
- Heather Alane Flowers
- Courtney Jade Floyd
- Kevin Floyd
- Molli Floyd
- Lawanda Deshae Fluker
- Maegan Gilliland Flynn
All providers in Tupelo, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.