Janice Cecile Angelo, MSW ,LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R048242-1 Issued in NY

Practice address

13000 Main Rd
Mattituck, NY 11952-3206

Phone

(631) 298-5376

NPI assigned

Nov 8, 2006

Last updated

Apr 18, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1649340597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BLUFFS DR N",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "119331299",
            "telephone_number": "631-298-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 MAIN RD",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119523206",
            "telephone_number": "631-298-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "JANICE",
        "middle_name": "CECILE",
        "name_prefix": "Ms.",
        "credential": "MSW ,LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048242-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Baker, MSW
• Debra Kim Bales, M.A., C.C.C., SLP
• Barkers Pharmacy Inc.

• Clinical Social Worker in Mattituck, NY
• Providers in Mattituck, 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 Apr 18, 2014; 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.