Individual provider Active NPI

Angela Gaston, LCSW

  • Clinical Social Worker
  • Angleton, TX
National Provider Identifier
1689721037
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S20328 Issued in TX
Practice address
209 E Mulberry St Ste 400
Angleton, TX 77515-4751
Phone
(979) 331-3124
Fax
(979) 331-3123
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 S20328 TX Primary

Addresses

Primary practice location

209 E Mulberry St Ste 400
Angleton, TX 77515-4751

Mailing address

209 E Mulberry St Ste 400
Angleton, TX 77515-4751
Phone (979) 331-3124

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
I20110210000989 TX Practitioner - Clinical Social Worker 1052591823 Practice locations: Angleton, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

209 E Mulberry St
Suite 400
Angleton, TX 77515-4751
Phone (979) 331-3124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S20328TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MPP Mso PLLC CurrentSince Jan 5, 2020 Accepting new patients
Sayer Psychiatry PLLC CurrentSince Nov 26, 2023 Accepting new patients

Locations

209 E Mulberry St
Ste 400
Angleton, TX 77515
Phone (979) 331-3121

52 Flag Lake Plz
Lake Jackson, TX 77566
Phone (713) 864-6694

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1689721037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E MULBERRY ST STE 400",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154751",
            "telephone_number": "979-331-3124",
            "fax_number": "979-331-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E MULBERRY ST STE 400",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154751",
            "telephone_number": "979-331-3124",
            "fax_number": "979-331-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S20328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.