MS. MARY ANGELA CASANOVA (NPI# 1063629335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063629335 |
| Entity Type | Individual |
| Full Name | MS. MARY ANGELA CASANOVA |
| Credential | LCSW |
| Practice Address |
301 Londonderry Dr Waco TX 76712-7915 |
| Mailing Address |
10132 Segovia Dr Waco TX 76708-5666 |
| Practice Telephone | 2548676550 |
| Mailing Telephone | 2544888409 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 50231 | TX | Behavioral Health & Social Service Providers |
| Street Address |
301 LONDONDERRY DR |
| City | WACO |
| State | TX |
| Zip Code | 76712-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970397 | Providence Health Services of Waco | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2005-08-29 |
| 1497148894 | Alisha Golding | Physician Assistant | 301 Londonderry Dr, Waco, TX 76712-7915 | 2015-03-09 |
| 1750725701 | Cody Robert Mcmahan | Psychiatry & Neurology | 301 Londonderry Dr, Waco, TX 76712-7915 | 2013-04-22 |
| 1033436407 | Providence Health Services of Waco | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-26 |
| 1730406265 | Ascension Providence | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-23 |
| 1184796252 | Roxann M Samples | Internal Medicine | 301 Londonderry Dr, Waco, TX 76712-7915 | 2006-11-14 |
| 1417038175 | Aurora Mary Mignosa | Psychiatry & Neurology | 301 Londonderry Dr, Waco, TX 76712-7915 | 2006-10-18 |
| 1942218110 | Frances Koller | Psychiatry & Neurology | 301 Londonderry Dr, Waco, TX 76712-7915 | 2006-08-04 |
| 1235147455 | Greg Blaisdell | Psychiatry & Neurology | 301 Londonderry Dr, Waco, TX 76712-7915 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801336656 | Sean Daniel Marmolejo | Social Worker | 1600 Lake Shore Dr, Apt 611, Waco, TX 76708-3701 | 2017-02-27 |
| 1144767062 | Proserv Social Work | Social Worker | 801 Washington Ave Ste 602, Waco, TX 76701-1266 | 2017-01-30 |
| 1376908848 | Nicholas Alexander Wright | Social Worker | 9904 Adobe Ct, Waco, TX 76712-8960 | 2015-12-28 |
| 1134474646 | Christen Anne Argueta | Social Worker | 3426 Austin Ave, Waco, TX 76710-7338 | 2012-07-20 |
| 1801156997 | Leslie Joy Clark | Social Worker | 4830 Lakewood Dr Ste 2, Waco, TX 76710-2969 | 2012-05-22 |
| 1104182096 | Christy Oliver | Social Worker | 305 S Rita St, Waco, TX 76705-1371 | 2012-04-05 |
| 1104123926 | Mclennan County | Social Worker | 2601 Gholson Rd, Waco, TX 76704-1106 | 2011-02-14 |
| 1174771729 | Vicki Carol Northern | Social Worker | 204 Arrowhead Pt, Waco, TX 76712-3000 | 2008-09-08 |
| 1538201322 | Phillip David Fitzpatrick | Social Worker | 6600 Sanger Ave, Suite # 9, Waco, TX 76710-7814 | 2007-02-12 |
| 1952320392 | Marian D. Funderburk | Social Worker | 659 Falcon Dr, Waco, TX 76712-3526 | 2006-07-18 |
| Find all providers in WACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.