Individual provider Active NPI

Angela Pugh-Antee, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1639207871
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10365 Issued in LA
Practice address
1621 Mirabeau Ave
New Orleans, LA 70122-2511
Phone
(850) 572-2168
NPI assigned
Mar 1, 2007
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 10365 LA Primary

Addresses

Primary practice location

1621 Mirabeau Ave
New Orleans, LA 70122-2511

Mailing address

1621 Mirabeau Ave
New Orleans, LA 70122-2511
Phone (850) 572-2168

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
I20131212000027 LA Practitioner - Clinical Social Worker 2567699861 Practice locations: New Orleans, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4215 Rayne Dr
New Orleans, LA 70122-2411
Phone (504) 222-2964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10365LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1639207871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 MIRABEAU AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701222511",
            "telephone_number": "850-572-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 MIRABEAU AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701222511",
            "telephone_number": "850-572-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH-ANTEE",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.