Individual provider Active NPI

Angela Michelle Brown, LCSW

  • Clinical Social Worker
  • New Braunfels, TX
National Provider Identifier
1811634801
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66189 Issued in TX
Practice address
645 N Walnut Ave
New Braunfels, TX 78130-7925
Phone
(830) 730-6090
Fax
(830) 455-4355
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 66189 TX Primary

Addresses

Primary practice location

645 N Walnut Ave
New Braunfels, TX 78130-7925

Mailing address

645 N Walnut Ave
New Braunfels, TX 78130-7925
Phone (830) 730-6090

Other identifiers 1

IdentifierTypeStateIssuer
66189OtherTXLCSW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230421001226 TX Practitioner - Clinical Social Worker 9436514627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A New Start Counseling ServicesGroup PAC ID 1951701010, 15 clinicians

Practice addresses (Care Compare)

6609 Blanco Rd
Suite 325
San Antonio, TX 78216-6171
Phone (210) 833-4665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A New Start Counseling Services Clinical CurrentSince Apr 1, 2023 Accepting new patients
Inmindout Emotional Wellness Center, LLC CurrentSince Dec 6, 2022 Accepting new patients

Locations

3506 Los Milagros
Mission, TX 78572
Phone (956) 221-0027

645 N Walnut Ave
New Braunfels, TX 78130
Phone (830) 306-0907

12227 Huebner Rd
Ste 101
San Antonio, TX 78230

6609 Blanco Rd
Ste 325
San Antonio, TX 78216
Phone (210) 705-1749

6609 Blanco Rd
Ste 365
San Antonio, TX 78216
Phone (210) 705-1749

9846 Lorene Ln
San Antonio, TX 78216
Phone (210) 340-0049

2003 Medical Pkwy
Ste C
San Marcos, TX 78666
Phone (512) 643-5440

1996 Schertz Pkwy
Ste 202
Schertz, TX 78154
Phone (830) 832-9266

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, 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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1811634801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307925",
            "telephone_number": "830-730-6090",
            "fax_number": "830-455-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307925",
            "telephone_number": "830-730-6090",
            "fax_number": "830-455-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "66189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.