ANGELA D OLD LISW-CP
NPI 1245377621
Social Worker - Clinical in Prosperity, SC

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
2005 DREHER ISLAND RD, PROSPERITY, SC 29127(312) 497-0734 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angela D Old Lisw-cp NPPES

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

ANGELA D OLD LISW-CP (NPI 1245377621) is an individual clinical provider in Prosperity, South Carolina, licensed in South Carolina (11110) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1245377621
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANGELA D OLDCredential: LISW-CP
Location Address2005 DREHER ISLAND RDProsperity, SC 29127-9013
Mailing Address2005 Dreher Island RdProsperity, SC 29127-9013 · (312) 497-0734
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 1, 2007
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
NPI 1245377621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in SC · 11110 Licensed in IL · 149008717
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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20917 (IL)
2005 DREHER ISLAND RD, Prosperity, SC 29127

Other Identifiers 4

Other149008717IL · Lcsw
Other11110SC · Lisw-cp
Other1636956IL · Bcbs
OtherCAQHIL · 11693514

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angela D Old Lisw-cp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698877371
PECOS Enrollment IDI20231221000595
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
172 services17 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29127 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 $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 Angela Old's NPI number?

The NPI number for Angela Old is 1245377621. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Angela Old located?

Angela Old practices at 2005 Dreher Island Rd, Prosperity, SC 29127. The listed phone number is (312) 497-0734.

What is Angela Old's specialty?

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

Is Angela Old enrolled in Medicare?

Yes. Angela Old is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Angela Old accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Angela Old as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Old was last updated on December 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.