ANGELA D OLD LISW-CP
NPI 1245377621
Social Worker - Clinical in Prosperity, SC
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
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Angela Old reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- 285 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Angela Old's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Old reassigns Medicare benefits to Charleston Counseling Center PC (Mount Pleasant, SC). The 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 Angela Old's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Angela D Old, LISW-CP · NPI 1245377621
Clinical provider in Prosperity, South Carolina. Individual provider, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1245377621 (Entity type: Individual)
- **Enumerated:** February 1, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 11110 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2005 DREHER ISLAND RD, Prosperity, SC 29127-9013
- **Phone:** (312) 497-0734
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Charleston Counseling Center PC (NPI 1316375678, Mount Pleasant, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** December 7, 2023
- **Other identifiers:** Other 149008717 (IL); Other 11110 (SC); Other 1636956 (IL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1245377621) · Data from the CMS NPPES public registry.