Angella Marcia Peters

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC303165 Issued in DC

Practice address

150 Spartan Dr
Maitland, FL 32751-3468

Phone

(407) 331-8002

NPI assigned

Mar 10, 2011

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Marcia Peters Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Impower, Inc

  • Community/Behavioral Health Agency
  • Longwood, FL
  • NPI 1104910868
  NPD (past)
• Intervention Services Inc.

  • Counselor
  • Maitland, FL
  • NPI 1083946297
  NPD (past)

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1760780001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 TILDENS GROVE BLVD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865710",
            "telephone_number": "571-265-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SPARTAN DR",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513468",
            "telephone_number": "407-331-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ANGELLA",
        "middle_name": "MARCIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC303165",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PETERS",
            "middle_name": "MARCIA",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Perna, MD
• Angela Giglio Perry, ED.S.
• Peter C. Perry, M.D.
• Ruth Noemi Persaud
• Personic Healthcare LLC
• Debra Peters, M.A
• Germaine Peters, CAA
• Kaile Terin Peters
• Luke Henry Peterson, D.C.
• Quynh Nhu Pham, OD

• Clinical Social Worker in Maitland, FL
• Providers in Maitland, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.