Provider Demographics
NPI:1679135800
Name:ENGLISH, ANGELA RAE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:RAE
Last Name:ENGLISH
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 1:7750 CLAYTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1341
Mailing Address - Country:US
Mailing Address - Phone:314-391-9491
Mailing Address - Fax:866-794-4375
Practice Address - Street 1:7750 CLAYTON RD STE 300
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63117-1341
Practice Address - Country:US
Practice Address - Phone:314-391-9491
Practice Address - Fax:866-794-4375
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20180418341041C0700X
VA09040134361041C0700X
IL149.0237021041C0700X
COCSW.099278181041C0700X
KSLSCSW056651041C0700X
MO20210054491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical