Individual provider Active NPI

Angela M Lutts, LCSW

  • Clinical Social Worker
  • Colleyville, TX
National Provider Identifier
1639609845
Registry record updated Sep 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41377 Issued in TX
Practice address
5005 Colleyville Blvd Ste 206
Colleyville, TX 76034-5818
Phone
(817) 918-7300
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2023

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 41377 TX Primary

Addresses

Primary practice location

5005 Colleyville Blvd Ste 206
Colleyville, TX 76034-5818

Mailing address

5005 Colleyville Blvd Ste 206
Colleyville, TX 76034-5818
Phone (817) 918-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180118000605 TX Practitioner - Clinical Social Worker 4587923685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5005 Colleyville Blvd
Suite 206
Colleyville, TX 76034-5818
Phone (817) 918-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41377TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Embracing Hope Counseling & Family Services PLLC Clinical CurrentSince Jan 3, 2018 Accepting new patients

Locations

5005 Colleyville Blvd
Ste 206
Colleyville, TX 76034
Phone (817) 201-8521

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1639609845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 COLLEYVILLE BLVD STE 206",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345818",
            "telephone_number": "817-918-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 COLLEYVILLE BLVD STE 206",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345818",
            "telephone_number": "817-918-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.