Angela Short, LCSW is a
Social Worker - Clinical based in Fayette, Mississippi. Angela Short is licensed to practice in Mississippi (license number C7411) and her current practice location is
240 Mcnair Rd, Fayette, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 786-7744.
NPI number for Angela Short is 1063047496 and her current mailing address is 240 Mcnair Rd, Fayette, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063047496.
Healthcare Provider's Profile
Full Name | Angela Short |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 240 Mcnair Rd, Fayette, Mississippi |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063047496
- Provider Enumeration Date: 03/05/2020
- Last Update Date: 03/05/2020
Medical Identifiers
Medical identifiers for Angela Short such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063047496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C7411 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Short is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela Short, LCSW 240 Mcnair Rd, Fayette, MS 39069-5540 Ph: (601) 786-7744 | Angela Short, LCSW 240 Mcnair Rd, Fayette, MS 39069-5540 Ph: (601) 786-7744 |
Reviews and Comments