Individual provider Active NPI

Angela J Calcaterra, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1811906167
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2001017180 Issued in MO
Practice address
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone
(314) 525-4412
Fax
(314) 525-4420
NPI assigned
Aug 5, 2006
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100071 AK
Clinical Social Worker 1041C0700X 2001017180 MO Primary

Addresses

Primary practice location

10018 Kennerly Rd
Saint Louis, MO 63128-2106

Mailing address

PO Box 1045
Seward, AK 99664-2106
Phone (907) 224-5257

Other identifiers 1

IdentifierTypeStateIssuer
100071MedicaidAK

Other names 1

  • Angela J O'Neil Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230105001833 MO Practitioner - Clinical Social Worker 6002286150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Springs Medical AssociationGroup PAC ID 6709871007, 53 clinicians

Practice addresses (Care Compare)

202 N Allen St
Annapolis, MO 63620-8778
Phone (573) 598-4213

405 Main St
Missouri Highlands Healthcare
Van Buren, MO 63965-9719
Phone (573) 323-4253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100071AKMDClinical Social Worker
2001017180MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Big Springs Medical Association Current Accepting new patients
Big Springs Medical Association CurrentSince Dec 12, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 20, 2025 Accepting new patients
Big Springs Medical Association CurrentSince Dec 12, 2022 Accepting new patients
Big Springs Medical Association Past Accepting new patients

Locations

202 Allen St
Annapolis, MO 63620
Phone (573) 598-4213

109 Leroux St
Doniphan, MO 63935
Phone (573) 996-2136

109 Plum St
Doniphan, MO 63935
Phone (573) 776-2136

109 Plum St
Ste B
Doniphan, MO 63935
Phone (573) 351-0220

3277 US Highway 160 W
Doniphan, MO 63935

110 S 2nd St
Ellington, MO 63638
Phone (573) 663-2316

61 Highway Y
Ellington, MO 63638
Phone (573) 663-2525

1 Hals Plz
Piedmont, MO 63957
Phone (573) 223-4800

1407 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 778-3042

2210 Barron Rd
Ste 120
Poplar Bluff, MO 63901
Phone (573) 785-2005

2879 James Blvd
Poplar Bluff, MO 63901
Phone (573) 609-8800

18 Viburnum Center Rd
Viburnum, MO 65566
Phone (573) 244-5406

Interoperability endpoints

  • Direct secure messaging: angela.calcaterra.1@14422.direct.athenahealth.com

Organizations & group practices 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1811906167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996642106",
            "telephone_number": "907-224-5257",
            "fax_number": "907-224-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10018 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-4412",
            "fax_number": "314-525-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCATERRA",
        "first_name": "ANGELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "100071",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001017180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "O'NEIL",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.