Angela White Dunnam, LICSW
Individual provider Active NPI Clinical Social Worker · Bay Minette, AL
NPI 1689428401 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1689428401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0977C (AL)
- Practice address
- 20151 Patty Jr LN
Bay Minette, AL 36507-5442 - Phone
- (251) 620-8404
- NPI assigned
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0977C | AL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0977C | AL | Yes |
Addresses
Primary practice location
20151 Patty Jr LN
Bay Minette, AL 36507-5442
Mailing address
20151 Patty Jr LN
Bay Minette, AL 36507-5442
Phone (251) 620-8404
Other providers in Bay Minette, AL
- Tramecier January Donald
- Ariel Dulaney
- Christine Marie Dull
- Jeffrey Martin Dull
- Kimberly Murray Dunagan
- Andrew Edgar
- Daniel B Edgar
- Edwin D Bryan Inc
- Rebecca S Emmons
- Encore Rehabilitation, Inc.
All providers in Bay Minette, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.