Individual provider Active NPI

Aneeka Angus, LCSW

  • Clinical Social Worker
  • Middletown, CT
National Provider Identifier
1780042440
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8485 Issued in CT
Practice address
90 Court St Ste 203
Middletown, CT 06457-3334
Phone
(203) 592-7934
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8485CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Starseed Holistic Healing LLC Clinical CurrentSince Dec 12, 2021 Accepting new patients

Locations

90 Court St
Ste 203
Middletown, CT 06457
Phone (203) 592-7934

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8485 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

90 Court St Ste 203
Middletown, CT 06457-3334

Mailing address

90 Court St Ste 203
Middletown, CT 06457-3334
Phone (203) 592-7934

Other practice location 1

1007 N Main St
Dayville, CT 06241-2170
Phone (860) 774-2020

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
004040564MedicaidCT

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address aangus@starseedholistichealing.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2020.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1780042440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 COURT ST STE 203",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573334",
            "telephone_number": "203-592-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 COURT ST STE 203",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573334",
            "telephone_number": "203-592-7934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 N Main St",
            "address_purpose": "LOCATION",
            "city": "Dayville",
            "state": "CT",
            "postal_code": "062412170",
            "country_code": "US",
            "telephone_number": "860-774-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGUS",
        "first_name": "ANEEKA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040564",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aangus@starseedholistichealing.com",
            "affiliation": "N",
            "address_1": "90 Court St Ste 203",
            "city": "Middletown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064573334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.