Active NPI
Brynne Scott Angelle, LCSW
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1609175975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3312 Kaliste Saloom Rd
Lafayette, LA 70508 - Phone
- (337) 237-0788
- NPI assigned
- Mar 25, 2011
- Last updated
- Aug 28, 2018
- 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 | Primary |
Addresses
Primary practice location
3312 Kaliste Saloom Rd
Lafayette, LA 70508
Mailing address
3312 Kaliste Saloom Rd
Lafayette, LA 70508-7449
Phone (337) 237-0788
Other practice location 1
360 Peak One Dr
Ste 110
Frisco, CO 80443
Phone (970) 668-9100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1609175975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 KALISTE SALOOM RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705087449",
"telephone_number": "337-237-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 KALISTE SALOOM RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508",
"telephone_number": "337-237-0788"
}
],
"practiceLocations": [
{
"address_1": "360 Peak One Dr",
"address_2": "Ste 110",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "CO",
"postal_code": "80443",
"country_code": "US",
"telephone_number": "970-668-9100",
"fax_number": "970-668-0632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGELLE",
"first_name": "BRYNNE",
"middle_name": "SCOTT",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.