Stacey Lee Angus, LCSW,CAS, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081307 Issued in NY

Practice address

129 Hudson St
South Glens Falls, NY 12803-4923

Phone

(518) 479-9971

NPI assigned

Jul 29, 2008

Last updated

Nov 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1629234786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HUDSON ST",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034923",
            "telephone_number": "518-479-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 HUDSON ST",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034923",
            "telephone_number": "518-479-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGUS",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW,CAS, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "C-4560",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Zeitler Aiken, RN
• Brittany Avery
• Deborah Jean Bishop, RN
• Nicholas James Bodkin, LMT
• Marissa Boice
• Jason Bovair, LPN

• Clinical Social Worker in South Glens Falls, NY
• Providers in South Glens Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.