Individual provider Active NPI

Denise A Angelo, LCSW-R

  • Clinical Social Worker
  • Cold Spring, NY
National Provider Identifier
1811238678
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R040379 Issued in NY
Practice address
22 Mountain Ave
Cold Spring, NY 10516-1812
Phone
(845) 265-9073
NPI assigned
Mar 4, 2013
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 R040379 NY Primary

Addresses

Primary practice location

22 Mountain Ave
Cold Spring, NY 10516-1812

Mailing address

22 Mountain Ave
Cold Spring, NY 10516-1812
Phone (845) 265-9073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180417000529 NY Practitioner - Clinical Social Worker 8224391651 Practice locations: Cold Spring, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R040379NYMDClinical Social Worker
040379NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Head in the Right Direction Counseling Services LCSW PC Clinical PastSince May 7, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1811238678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MOUNTAIN AVE",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105161812",
            "telephone_number": "845-265-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MOUNTAIN AVE",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105161812",
            "telephone_number": "845-265-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "DENISE",
        "middle_name": "A",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, NY

Sources for this page

Verify at the official NPI Registry.