Provider Demographics
NPI:1285648261
Name:CARDELLA, ANGELA ELIZABETH (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:ELIZABETH
Last Name:CARDELLA
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:IRWIN ARMY COMMUNITY HOSP., 650 HUEBNER ROAD
Mailing Address - Street 2:ATTN: MCXX-CLD-QM (CRED) CATHY TEIDEL
Mailing Address - City:FORT RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442-5037
Mailing Address - Country:US
Mailing Address - Phone:785-239-7155
Mailing Address - Fax:785-239-7364
Practice Address - Street 1:650 HUEBNER ROAD
Practice Address - Street 2:ATTN: MCXX-CLD-QM (CRED)
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-5037
Practice Address - Country:US
Practice Address - Phone:785-239-7155
Practice Address - Fax:785-239-7364
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3540104100000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker