Individual provider Active NPI

Angela Abegail Krider, LCSW

  • Clinical Social Worker
  • Sparta, NC
National Provider Identifier
1710503883
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016063 Issued in NC
Practice address
157 Health Services Rd
Sparta, NC 28675-3000
Phone
(336) 372-5641
Fax
(336) 372-1888
NPI assigned
Jun 24, 2020
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 C016063 NC Primary

Addresses

Primary practice location

157 Health Services Rd
Sparta, NC 28675-3000

Mailing address

PO Box 208
Jefferson, NC 28640-0208
Phone (336) 246-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200721001354 NC Order and Referring Only - Clinical Social Worker 5395169544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C016063NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1710503883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400208",
            "telephone_number": "336-246-9449",
            "fax_number": "336-982-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HEALTH SERVICES RD",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286753000",
            "telephone_number": "336-372-5641",
            "fax_number": "336-372-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIDER",
        "first_name": "ANGELA",
        "middle_name": "ABEGAIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NC

Sources for this page

Verify at the official NPI Registry.