Mary Angotti

Individual provider Active NPI Home Health Aide · Clarksburg, WV

NPI 1972476489 · NPPES record last updated Sep 29, 2025

Key facts

NPI
1972476489
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
744 1/2 Locust Ave Apt 1
Clarksburg, WV 26301-2562
Phone
(304) 677-4180
NPI assigned
Sep 29, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

744 1/2 Locust Ave Apt 1
Clarksburg, WV 26301-2562

Mailing address

PO Box 564
Clarksburg, WV 26302-0564

Other providers in Clarksburg, WV

All providers in Clarksburg, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.