Individual provider Active NPI

Angel Rasco, LMSW

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1760084990
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4444G Issued in AL
Practice address
4092 Memorial Pkwy SW Ste 205
Huntsville, AL 35802-4367
Phone
(256) 551-1610
Fax
(256) 551-0722
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 4444G AL Primary

Addresses

Primary practice location

4092 Memorial Pkwy SW Ste 205
Huntsville, AL 35802-4367

Mailing address

4092 Memorial Pkwy SW
Suite #: 205
Madison, AL 35758-3185
Phone (256) 551-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4444GALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services Center PastSince May 7, 2023 Accepting new patients
Vallis LLC Clinical PastSince Nov 1, 2020 Accepting new patients

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1760084990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4092 MEMORIAL PKWY SW",
            "address_2": "SUITE #: 205",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583185",
            "telephone_number": "256-551-1610",
            "fax_number": "256-551-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4092 MEMORIAL PKWY SW STE 205",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024367",
            "telephone_number": "256-551-1610",
            "fax_number": "256-551-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCO",
        "first_name": "ANGEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2023-05-03",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4444G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.