Active NPI
Angela M. Carlson, LSW
- Social Worker
- Warren, OH
National Provider Identifier
1841499985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S-0004227
- Practice address
- 150 E Market St
Warren, OH 44481-1141 - Phone
- (330) 399-6451
- Fax
- (330) 394-6258
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S-0004227 | OH | Primary |
Addresses
Primary practice location
150 E Market St
Warren, OH 44481-1141
Mailing address
150 E Market St
Warren, OH 44481-1141
Phone (330) 399-6451
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-0004227 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Community Services Inc | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warren, OH
- NPI 1750607057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1841499985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444811141",
"telephone_number": "330-399-6451",
"fax_number": "330-394-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444811141",
"telephone_number": "330-399-6451",
"fax_number": "330-394-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ANGELA",
"middle_name": "M.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S-0004227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.