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KEYSE ANGELO
NPI 1114474772
Social Worker - Clinical in Roslindale, MA

Active since September 01, 2016PECOS Enrolled
26 COLBERG AVE APT 3, ROSLINDALE, MA 02131(617) 642-8393 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2020, Sep 16, 2016, Sep 1, 2016 (3 updates tracked since 2016).

About Keyse Angelo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYSE ANGELO (NPI 1114474772) is an individual clinical provider in Roslindale, Massachusetts, licensed in Massachusetts (122452) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114474772
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEYSE ANGELO
Location Address26 COLBERG AVE APT 3Roslindale, MA 02131-2858
Mailing AddressKeyse Angelo, 26 Colberg Ave, #3Roslindale, MA 02131 · (617) 642-8393
Phone(617) 642-8393
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 1, 2016
Last NPPES UpdateApril 21, 20203 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1114474772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 122452
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
26 COLBERG AVE APT 3, Roslindale, MA 02131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keyse Angelo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092128660
PECOS Enrollment IDI20201229001779
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Keyse Angelo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boston Medical Center Corporation
0.7 mi
Community Health
4199 WASHINGTON ST
Roslindale, MA 02131
  • Reassigned Medicare billing, Massachusetts enrollment
  • 41 clinicians in this Medicare group
NPI 1386718823 (617) 323-4440
North End Community Health Committee Inc
7.1 mi
Public Health & General Preventive Medicine
332 HANOVER STREET
Boston, MA 02113
  • Reassigned Medicare billing, Massachusetts enrollment
  • 75 clinicians in this Medicare group
NPI 1780606608 (617) 643-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keyse Angelo's NPI number?

The NPI number for Keyse Angelo is 1114474772. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Keyse Angelo located?

Keyse Angelo practices at 26 Colberg Ave Apt 3, Roslindale, MA 02131. The listed phone number is (617) 642-8393.

What is Keyse Angelo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Keyse Angelo enrolled in Medicare?

Yes. Keyse Angelo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keyse Angelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keyse Angelo reassigns Medicare benefits to 2 organizations: Boston Medical Center Corporation (Roslindale, MA) and North End Community Health Committee Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keyse Angelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keyse Angelo was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.