Individual provider Active NPI

Angela Danette Johnson-Cantrelle, LCSW

  • Clinical Social Worker
  • Donaldsonville, LA
National Provider Identifier
1619294741
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6333 Issued in LA
Practice address
704 Railroad Ave.
Donaldsonville, LA 70346
Phone
(225) 810-2316
NPI assigned
Apr 29, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6333 LA Primary

Addresses

Primary practice location

704 Railroad Ave.
Donaldsonville, LA 70346

Mailing address

PO Box 1466
Donaldsonville, LA 70346-1466
Phone (225) 810-2316

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001718 LA Practitioner - Clinical Social Worker 5698891588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6333LAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority Current Accepting new patients
South Central la Human Services Authority CurrentSince Jun 10, 2024 Accepting new patients
South Central la Human Services Authority CurrentSince Jun 10, 2024 Accepting new patients
Healthcare Advantage LLC Past Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 876-8822

5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615

1809 W Airline Hwy
La Place, LA 70068
Phone (985) 652-8444

500 Roderick St
Ste B
Morgan City, LA 70380
Phone (985) 380-2460

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • Direct secure messaging: angela.johnson-cantrelle.1@30520.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1619294741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703461466",
            "telephone_number": "225-810-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 RAILROAD AVE.",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "70346",
            "telephone_number": "225-810-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-CANTRELLE",
        "first_name": "ANGELA",
        "middle_name": "DANETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donaldsonville, LA

Sources for this page

Verify at the official NPI Registry.