Individual provider Active NPI

Angelica Andrade, MSW

  • Clinical Social Worker
  • Windsor, CA
National Provider Identifier
1992080196
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
71142 Issued in CA
Practice address
8465 Old Redwood Hwy Ste 320
Windsor, CA 95492-9244
Phone
(707) 433-5494
Fax
(707) 837-0119
NPI assigned
Oct 19, 2011
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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 71142 CA Primary

Addresses

Primary practice location

8465 Old Redwood Hwy Ste 320
Windsor, CA 95492-9244

Mailing address

8465 Old Redwood Hwy Ste 320
Windsor, CA 95492-9244
Phone (707) 433-5494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161102002471 CA Practitioner - Clinical Social Worker 4688952294 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71142CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coppertower Family Medical Center CurrentSince Aug 11, 2025 Accepting new patients
Coppertower Family Medical Center CurrentSince Aug 11, 2025 Accepting new patients
Native American Health Center, Inc CurrentSince Nov 27, 2023 Accepting new patients
Native American Health Center, Inc CurrentSince Nov 27, 2023 Accepting new patients
Native American Health Center, Inc Current Accepting new patients

Locations

100 W 3rd St
Cloverdale, CA 95425
Phone (707) 669-1806

6 Tarman Dr
Cloverdale, CA 95425
Phone (707) 894-4229

2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948

3124 International Blvd
#2D
Oakland, CA 94601

160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500

Organizations & group practices 5

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1992080196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 OLD REDWOOD HWY STE 320",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929244",
            "telephone_number": "707-433-5494",
            "fax_number": "707-837-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 OLD REDWOOD HWY STE 320",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929244",
            "telephone_number": "707-433-5494",
            "fax_number": "707-837-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "ANGELICA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CA

Sources for this page

Verify at the official NPI Registry.