Angela Dawn Federico, LCSW

Social Worker, Clinical in Bay Pines, FL. Individual provider (NPI-1).

NPI number1669957338

StatusActive

Last updated in NPPESApr 7, 2020

Details

NPI: 1669957338
Entity type: Individual (NPI-1)
Name: Angela Dawn Federico
Credential: LCSW
Sex: Female
Sole proprietor: No
Enumeration date: Sep 28, 2018
Certification date: Apr 7, 2020
Last updated: Apr 7, 2020

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	14309	FL	Yes

Practice location

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Phone 727-398-6661 · Fax 727-319-1317

Mailing address

9355 113th St Unit 8437
Seminole, FL 33775-6934

Phone 727-398-6661

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Bay Pines, FL

All 99 Clinical Social Worker providers in Bay Pines · All 819 providers in Bay Pines

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