Angela Jean Farris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018739 Issued in IL

Practice address

201 E Veterans Pkwy # 7
Yorkville, IL 60560-1365

Phone

(573) 300-3899

NPI assigned

Nov 26, 2012

Last updated

Jan 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Community and Long-Term Care Psychiatry LLCGroup PAC ID 4486949773, 14 clinicians

Bonne Terre Healthcare Clinic, LLCGroup PAC ID 6103253919, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.farris.1@20454.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20393/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Footprints; Hope & Healing Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yorkville, IL
  • NPI 1073485850
  Medicare reassignment NPD Authorized official
• Bonne Terre Healthcare Clinic LLC

  • Family Nurse Practitioner
  • Bonne Terre, MO
  • NPI 1962043802
  Medicare reassignment Care Compare group NPD
• Community and Long-Term Care Psychiatry LLC

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1699121475
  Medicare reassignment Care Compare group
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763

  MO

  Medicare reassignment NPD
• Renew Therapy LLC

  • Clinical Social Worker
  • Yorkville, IL
  • NPI 1598477697
  NPD

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1760726012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E VETERANS PKWY # 7",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601365",
            "telephone_number": "573-300-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E VETERANS PKWY # 7",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601365",
            "telephone_number": "573-300-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2013005209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Health Ventures
• Edward Health Ventures
• Karen Louise Eisele, DO
• Adam Estrada, NURSE PRACTITIONER
• Fagman Eye Surgery Assoc
• James Robert Fatz, PHD, LMHC, LCPC
• Maria Angela Febles, BSW
• Jami Feeley, LSW
• Rose Maire Feeney, OTR/L
• Xochitl Fernandez

• Clinical Social Worker in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.