Active NPI
Angel Howard, LCSW
- Clinical Social Worker
- Petersburg, VA
National Provider Identifier
1871190272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012386
- Practice address
- 20 W Bank St
Petersburg, VA 23803-3279 - Phone
- (804) 862-8000
- NPI assigned
- Oct 8, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012386 | VA | Primary |
Addresses
Primary practice location
20 W Bank St
Petersburg, VA 23803-3279
Mailing address
4600 Whitestone Dr
North Chesterfield, VA 23234-3623
Phone (804) 592-7678
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CCP | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 0904012386 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Journey Therapeutic Solutions | Clinical | Current | 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.
-
- Clinical Social Worker
- Henrico, VA
- NPI 1659027159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1871190272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 WHITESTONE DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232343623",
"telephone_number": "804-592-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W BANK ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238033279",
"telephone_number": "804-862-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "ANGEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012386",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CCP",
"affiliation": "N",
"endpointDescription": "CCP",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20 W Bank St",
"city": "Petersburg",
"state": "VA",
"country_code": "US",
"postal_code": "238033279",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.