Individual provider Active NPI

Angela Marie Mastropiero, RCSWI

  • Clinical Social Worker
  • Daytona Beach, FL
National Provider Identifier
1922639731
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13086 Issued in FL
Practice address
430 Braddock Ave
Daytona Beach, FL 32118-4616
Phone
(386) 258-1618
NPI assigned
Jan 30, 2020
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13086 FL Primary

Addresses

Primary practice location

430 Braddock Ave
Daytona Beach, FL 32118-4616

Mailing address

2657 Nectarine Rd
Deland, FL 32724-3011
Phone (732) 569-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210921001288 FL Practitioner - Clinical Social Worker 8729485685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2657 Nectarine Rd
Deland, FL 32724-3011
Phone (732) 569-4594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13086FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Emdr LLC Clinical CurrentSince Sep 15, 2021 Accepting new patients
Presbyterian Counseling Center Inc Multi-Specialty PastSince Feb 2, 2020 Accepting new patients

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1922639731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 NECTARINE RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327243011",
            "telephone_number": "732-569-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BRADDOCK AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184616",
            "telephone_number": "386-258-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROPIERO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "13086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.