Individual provider Active NPI

Angela Virginia Ordyniec, MSSW, LISW-CP, LCSW

  • Clinical Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1770067274
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14924 Issued in SC
Practice address
1435 Stuart Engals Blvd Ste 201
Mount Pleasant, SC 29464-7312
Phone
(843) 459-9805
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086017 NY
Clinical Social Worker 1041C0700X 108725 CA
Clinical Social Worker 1041C0700X 29951 MN
Clinical Social Worker 1041C0700X 44SC06095500 NJ
Clinical Social Worker 1041C0700X 14924 SC Primary

Addresses

Primary practice location

1435 Stuart Engals Blvd Ste 201
Mount Pleasant, SC 29464-7312

Mailing address

1435 Stuart Engals Blvd Ste 201
Mount Pleasant, SC 29464-7312
Phone (843) 459-9805

Other practice location 1

49 W 24th St Ste 1002
New York, NY 10010-3543
Phone (646) 389-2189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20240911002239 SC Practitioner - Clinical Social Worker 3870827645 Reassigns benefits to 1 organization
I20250217001328 CA Practitioner - Clinical Social Worker 3870827645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06095500NJMDClinical Social Worker
086017NYMDClinical Social Worker
14924SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J Giv Enterprises LLC CurrentSince Jul 1, 2024 Accepting new patients
Quest Health Management Psychological Corporation CurrentSince Jan 10, 2025 Accepting new patients

Locations

4110 Edison Ave
Ste 206A
Chino, CA 91710
Phone (951) 454-5577

1435 Stuart Engals Blvd
Ste 201
Mt Pleasant, SC 29464
Phone (843) 459-9805

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1770067274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 STUART ENGALS BLVD STE 201",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647312",
            "telephone_number": "843-459-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 STUART ENGALS BLVD STE 201",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647312",
            "telephone_number": "843-459-9805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 W 24th St Ste 1002",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100103543",
            "country_code": "US",
            "telephone_number": "646-389-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDYNIEC",
        "first_name": "ANGELA",
        "middle_name": "VIRGINIA",
        "credential": "MSSW, LISW-CP, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086017",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108725",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29951",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06095500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.