Individual provider Active NPI

Angela Lea Nemecek-Haag, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1972103125
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012451 Issued in VA
Practice address
420 3Rd St NE
Charlottesville, VA 22902-4620
Phone
(434) 260-0221
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904012451 VA Primary

Addresses

Primary practice location

420 3Rd St NE
Charlottesville, VA 22902-4620

Mailing address

515 Park St # a
Charlottesville, VA 22902-4759
Phone (434) 466-0295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20251001003725 VA Practitioner - Clinical Social Worker 6305342015 Practice locations: Charlottesville, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 Park St
A
Charlottesville, VA 22902-4759
Phone (434) 466-0295

717 Watson Ave
Charlottesville, VA 22901-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904012451VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angela L. Nemecek-Haag, LCSW CurrentSince Oct 27, 2020 Accepting new patients

Locations

515 Park St
Apt A
Charlottesville, VA 22902
Phone (434) 466-0295

420 3rd St NE
Charlottesvle, VA 22902
Phone (434) 971-9287

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1972103125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PARK ST # A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024759",
            "telephone_number": "434-466-0295",
            "fax_number": "434-465-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 3RD ST NE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024620",
            "telephone_number": "434-260-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMECEK-HAAG",
        "first_name": "ANGELA",
        "middle_name": "LEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.