Jacqueline D Angeloro, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16426 Issued in FL

Practice address

8895 N Military TRL BLDG 2
West Palm Beach, FL 33410-6220

Phone

(917) 855-2799

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ellie PBC2 LLCGroup PAC ID 6002355302, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ellie PBC2 LLC

  • Mental Health Counselor
  • West Palm Beach, FL
  • NPI 1700644408
  Medicare reassignment Care Compare group NPD
• Ellie PBC LLC

  • Mental Health Counselor
  • Lake Worth, FL
  • NPI 1942081872
  NPD (past)

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1639576267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 SANCTUARY COVE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334104517",
            "telephone_number": "631-680-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL BLDG 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106220",
            "telephone_number": "917-855-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Sanctuary Cove Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334104517",
            "country_code": "US",
            "telephone_number": "631-680-7365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELORO",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091603",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Angel Garcia
• Angel Hands Companion Services
• Angel Wings Home Care, LLC
• Angelhart Enterprises, LLC
• Angeline Prashad
• Angels on Call Healthcare Solutions Inc
• Angels With Hearts LLC
• Angels With Loving Hearts LLC
• Edward K Anim-Addo, MD
• Esther Rene Anise, MBA

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.