Angela Bae, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105839 Issued in NY

Practice address

669 Main St # 530
New Rochelle, NY 10801-7101

Phone

(646) 481-7725

NPI assigned

Mar 1, 2020

Last updated

Jul 16, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friends of Mary LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Rochelle, NY
  • NPI 1326676180
  NPD Authorized official

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1679107528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MAIN ST # 530",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MAIN ST # 530",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017101",
            "telephone_number": "646-481-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "ANGELA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-01",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105839",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "105839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Symonds Babb, PH.D.
• Shan Babeendran, D.O.
• Emma L Baber-Kessler, LCSW
• Baby Masterminds Inc.
• Daniel Badillo
• Baek Physical Therapy & Wellness
• Jennifer Gail Bagg, MD
• Nickeesha Bailey, NP
• Zivia Bairey, CREATIVE A T SOC WKR
• Barbara Leis Baker

• Clinical Social Worker in New Rochelle, NY
• Providers in New Rochelle, 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 Jul 16, 2022; 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.