Active NPI
Angela Pugh-Antee, LCSW
- Clinical Social Worker
- New Orleans, LA
National Provider Identifier
1639207871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10365
- Practice address
- 1621 Mirabeau Ave
New Orleans, LA 70122-2511 - Phone
- (850) 572-2168
- NPI assigned
- Mar 1, 2007
- Last updated
- Nov 5, 2024
- 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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10365 | LA | MD | Clinical 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
- Psalms 23 DME LLC (Divine Inspiration PCA Services)
- Psalms 23 DME LLC (Divine Inspiration PCA Services)
- Psychiatry Nola
- Psychotherapeutic, Counseling, and Mediation Services, Inc.
- Catherine Puett, LCSW
- Lindsey Pujol, RSW
- Molly Pulda, LMSW
- Nyia Pulliam, LCSW
- Punctual Transportation, LLC
- Tanya Pundsack
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.