Provider Demographics
NPI:1356448245
Name:LAUDADIO, ANGELA H (LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:H
Last Name:LAUDADIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S CENTRAL AVE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5900
Mailing Address - Country:US
Mailing Address - Phone:321-287-5487
Mailing Address - Fax:
Practice Address - Street 1:650 S CENTRAL AVE
Practice Address - Street 2:SUITE 1000
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5900
Practice Address - Country:US
Practice Address - Phone:321-287-5487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW73711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical