| Angelus Therapeutic Services Inc | |
|
401 N Jefferson St New Castle PA 16101-2238 | |
| (724) 654-9555 | |
| (724) 498-0976 |
| Full Name | Angelus Therapeutic Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 401 N Jefferson St, New Castle, Pennsylvania |
| Authorized Official Name and Position | Nessa L Smith (DIRECTOR) |
| Authorized Official Contact | 7246549555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelus Therapeutic Services Inc 401 N Jefferson St New Castle PA 16101-2238 Ph: (724) 654-9555 | Angelus Therapeutic Services Inc 401 N Jefferson St New Castle PA 16101-2238 Ph: (724) 654-9555 |
| NPI Number | 1205081254 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 06/13/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 0749539203 |
|---|---|
| Medicare Enrollment ID | O20180817000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205081254 | NPI | - | NPPES |
| 102946000 0010 | Medicaid | PA | |
| 102946000 0012 | Medicaid | PA | |
| 102946000 0011 | Medicaid | PA |
| Provider Name | Nessa Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124228531 PECOS PAC ID: 0446395180 Enrollment ID: I20100304000917 |
| Provider Name | Michelle L Lombardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184041410 PECOS PAC ID: 5991926388 Enrollment ID: I20141029000283 |
| Provider Name | Jillian K Winklevoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790276129 PECOS PAC ID: 8123405347 Enrollment ID: I20220510000027 |
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