Angela Renee Devault, MSW, CMHT
Individual provider Active NPI Clinical Social Worker · Hernando, MS
NPI 1750006698 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1750006698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- W9569 (MS)
- Practice address
- 2725 Highway 51 S
Hernando, MS 38632-2634 - Phone
- (662) 449-1971
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W9569 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region IV Mental Health Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | W9569 | MS | Yes |
Addresses
Primary practice location
2725 Highway 51 S
Hernando, MS 38632-2634
Mailing address
2725 Highway 51 S
Hernando, MS 38632-2634
Phone (662) 449-1971
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | angela.devault@regionivmhs.com | Direct |
Other providers in Hernando, MS
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- Desoto County School District
- Desoto County Schools
- Desoto Family Dental Care,PA
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- Elizabeth Paige Dougher
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- Dr R C Shackelford Optometrist
All providers in Hernando, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. 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.