Angela Maria Hansen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Port Orange, Florida. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Ebenezer Wellness Center Inc, My Angel Therapy's Corp., Golden Medical Diagnostic Inc and her current practice location is
6219 Woodhaven Village Drive, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 393-0315.
Angela Maria Hansen is licensed to practice in Florida (license number SW18567) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1235685181.
Healthcare Provider's Profile
| Full Name | Angela Maria Hansen |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 6219 Woodhaven Village Drive, Port Orange, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Angela Maria Hansen graduated from medical school in 2019
NPI Data:
- NPI Number: 1235685181
- Provider Enumeration Date: 08/31/2016
- Last Update Date: 02/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002212255
- Enrollment ID: I20210914000281
Medical Identifiers
Medical identifiers for Angela Maria Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235685181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW18567 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ebenezer Wellness Center Inc | 2668860248 | 5 |
| My Angel Therapy's Corp. | 9537694096 | 4 |
| Golden Medical Diagnostic Inc | 3375935661 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela Maria Hansen allows following entities to bill medicare on her behalf.
| Entity Name | Simon Health Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629615133 PECOS PAC ID: 3274935549 Enrollment ID: O20210708002131 |
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| Entity Name | Supra Medical Group Ii, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033650221 PECOS PAC ID: 2961805536 Enrollment ID: O20210721000408 |
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| Entity Name | My Mental Health Solutions |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487247409 PECOS PAC ID: 5395141535 Enrollment ID: O20210914000171 |
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| Entity Name | Ebenezer Wellness Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265007207 PECOS PAC ID: 2668860248 Enrollment ID: O20211101002371 |
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| Entity Name | Estrella Health Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710576988 PECOS PAC ID: 0042691362 Enrollment ID: O20220718003850 |
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| Entity Name | Harmony Behavior Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821863119 PECOS PAC ID: 8426499468 Enrollment ID: O20240508003195 |
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| Entity Name | My Angel Therapy's Corp. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205664729 PECOS PAC ID: 9537694096 Enrollment ID: O20241121001816 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Maria Hansen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Angela Maria Hansen, LCSW 6219 Woodhaven Village Drive, Port Orange, FL 32128 Ph: (786) 393-0315 | Angela Maria Hansen, LCSW 6219 Woodhaven Village Drive, Port Orange, FL 32128 Ph: (786) 393-0315 |
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