Provider Demographics
NPI:1770321366
Name:ANGELICA G. NEGRON, LCSW, LLC.
Entity type:Organization
Organization Name:ANGELICA G. NEGRON, LCSW, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:GISELA
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-925-7043
Mailing Address - Street 1:2921 LAKE ARNOLD PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1639
Mailing Address - Country:US
Mailing Address - Phone:407-925-7043
Mailing Address - Fax:
Practice Address - Street 1:853 STATE ROAD 436 STE 2003
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5479
Practice Address - Country:US
Practice Address - Phone:407-925-7043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty