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NPI Code Detail

MEDICARE: ANGELICA MEANS

MEDICARE:   ANGELICA  MEANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker9869SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19869OTHERSCBOARD OF SOCIAL WORK EXAMINERS

General Provider Information

NPI Number : 1568857837
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA MEANS
Provider Business Mailing Address
First Line : 1527 WADE HAMPTON BLVD
Second Line :
City : GREENVILLE
State : SC
Zip : 29609-5047
Country : US
Telephone Number : 864-501-3633
Fax Number : 864-448-1766
Provider Business Practice Location Address
First Line : 1527 WADE HAMPTON BLVD
Second Line :
City : GREENVILLE
State : SC
Zip : 29609-5047
Country : US
Telephone Number : 864-501-3633
Fax Number : 864-448-1766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2015
Last Update Date : 07/19/2025

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Directions to “ ANGELICA MEANS ” Practice Location

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