Angela Renee Devault, MSW, CMHT
Social Worker, Clinical in Hernando, MS. Individual provider (NPI-1).
NPI number1750006698
StatusActive
Last updated in NPPESOct 4, 2022
Details
- NPI
- 1750006698
- Entity type
- Individual (NPI-1)
- Name
- Angela Renee Devault
- Credential
- MSW, CMHT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2022
- Certification date
- Oct 4, 2022
- Last updated
- Oct 4, 2022
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 | W9569 | MS | Yes |
Practice location
2725 Highway 51 SHernando, MS 38632-2634
Phone 662-449-1971
Mailing address
2725 Highway 51 SHernando, MS 38632-2634
Phone 662-449-1971
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.
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