ANGELA D SHANDY (MSW, LCSW) – Clinical Social Worker, NPI 1043490329

ANGELA D SHANDY (MSW, LCSW) is a healthcare provider. based in Okemah, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 5202 (OK). The NPI Number for ANGELA D SHANDY (MSW, LCSW) is 1043490329

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA D SHANDY (MSW, LCSW)
NPI
1043490329
Phone
(918) 623-2922
Address
209 W BROADWAY ST
Enumeration Date
5 November 2007
Last Update Date
20 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058424911
Graduation Year
2007 (19 years ago)
PAC ID
6103119722
Group Practice PAC ID
6608776349
Professional Enrollment ID
I20160720000270
Address ID
OK731168608OK4045XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

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Provider Addresses for ANGELA D SHANDY (MSW, LCSW)

  • 209, West Broadway Street, Okemah, Okfuskee County, Oklahoma, 74859, United States

    OKEMAH, OK 748592618

    Phone: (918) 623-2922

    Fax: (918) 623-9316

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160720000270IClinical Social WorkerOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90785Psychiatric services complicated by communication factor1,42761$0
90834Psychotherapy, 45 minutes1,40062$0
90832Psychotherapy, 30 minutes62640$0
90791Psychiatric diagnostic evaluation2121$0
View full utilization report →

Insurance plans in this area (ZIP 74859)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608776349View full group profile
NameSpecialtyState
Mental Health CounselorOK
Clinical Social WorkerOK
-OK
Clinical Social WorkerOK
Clinical Social WorkerOK
-OK
Mental Health CounselorOK
Clinical Social WorkerOK
Clinical Social WorkerTX
Clinical Social WorkerOK

Reviews

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Frequently asked questions

What is ANGELA D SHANDY (MSW, LCSW)'s NPI number?
ANGELA D SHANDY (MSW, LCSW)'s NPI is 1043490329 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ANGELA D SHANDY (MSW, LCSW)?
You should see ANGELA D SHANDY (MSW, LCSW) as active in CMS-hosted NPPES data.
What kind of doctor is ANGELA D SHANDY (MSW, LCSW)?
ANGELA D SHANDY (MSW, LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ANGELA D SHANDY (MSW, LCSW)?
Directory geography for ANGELA D SHANDY (MSW, LCSW) centers on Okemah, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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