Individual provider Active NPI

Angela Dawn Prado, LCSW

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1821152299
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW92162 Issued in CA
Practice address
2628 Victor Ave Ste C
Redding, CA 96002-1454
Phone
(530) 638-2355
Fax
(530) 638-7269
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 ASW 70516 CA
Clinical Social Worker 1041C0700X LCSW92162 CA Primary

Addresses

Primary practice location

2628 Victor Ave Ste C
Redding, CA 96002-1454

Mailing address

2628 Victor Ave Ste C
Redding, CA 96002-1454
Phone (530) 638-2355

Other names 1

  • Angela Prado Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200901002864 CA Practitioner - Clinical Social Worker 7810314812 Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2628 Victor Ave
Suite C
Redding, CA 96002-1454
Phone (530) 638-2355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 70516CAMDClinical Social Worker
LCSW92162CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
His Ideas, Inc PastSince Nov 7, 2012 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1821152299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "530-638-2355",
            "fax_number": "530-638-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "530-638-2355",
            "fax_number": "530-638-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-10-28",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 70516",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW92162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PRADO",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.