Individual provider Active NPI

Angela Marie Sanders, LCSW, LICSW

  • Clinical Social Worker
  • Ridgeland, MS
National Provider Identifier
1679187447
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C10573 Issued in MS
Practice address
599 Highland Colony Pkwy Ste 110
Ridgeland, MS 39157-6075
Phone
(601) 202-2822
Fax
(888) 588-1090
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C10573 MS Primary
Clinical Social Worker 1041C0700X 5843C AL

Addresses

Primary practice location

599 Highland Colony Pkwy Ste 110
Ridgeland, MS 39157-6075

Mailing address

599 Highland Colony Pkwy Ste 110
Ridgeland, MS 39157-6075
Phone (601) 202-2822

Other identifiers 2

IdentifierTypeStateIssuer
5843COtherALLICSW
C10573OtherMSLCSW

Other names 1

  • Ms. Angela Marie Alford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20241203001732 MS Practitioner - Clinical Social Worker 1951836709 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5843CALMDClinical Social Worker
C10573MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shouted Silence Services, LLC CurrentSince Sep 27, 2024 Accepting new patients
Watchman Group Inc. CurrentSince Jun 28, 2025 Accepting new patients

Locations

907 Carter Ave
Ste 3
Philadelphia, MS 39350
Phone (601) 650-8150

322B Byrd Ave S
Philadelphia, MS 39350

599 Highland Colony Pkwy
Ste 110
Ridgeland, MS 39157
Phone (601) 202-2822

Organizations & group practices 2

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1679187447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 HIGHLAND COLONY PKWY STE 110",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576075",
            "telephone_number": "601-202-2822",
            "fax_number": "888-588-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 HIGHLAND COLONY PKWY STE 110",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576075",
            "telephone_number": "601-202-2822",
            "fax_number": "888-588-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10573",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5843C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "5843C",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C10573",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ALFORD",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LCSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.