MS. MARY ANGELA CASANOVA (LCSW) – Clinical Social Worker, NPI 1063629335

MS. MARY ANGELA CASANOVA (LCSW) is a healthcare provider. based in Waco, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 50231 (TX). The NPI Number for MS. MARY ANGELA CASANOVA (LCSW) is 1063629335

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY ANGELA CASANOVA (LCSW)
NPI
1063629335
Phone
(254) 867-6550
Address
301 LONDONDERRY DR
Enumeration Date
17 May 2007
Last Update Date
7 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2546943621
Graduation Year
2006 (20 years ago)
PAC ID
3678998226
Group Practice PAC ID
3274759303
Professional Enrollment ID
I20200730000992
Address ID
TX766922010WH1314XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

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Provider Addresses for MS. MARY ANGELA CASANOVA (LCSW)

  • DePaul Center, 301, Londonderry Drive, Waco, McLennan County, Texas, 76712, United States

    WACO, TX 767127915

    Phone: (254) 867-6550

    Type: Location

  • 10132, Segovia Drive, Waco, McLennan County, Texas, 76708, United States

    WACO, TX 767085666

    Phone: (254) 488-8409

    Type: Mailing

  • 301 Londonderry Dr

    Waco, TX 767127915

    Phone: (254) 867-6550

    Type: Location

  • PO BOX 2177

    WHITNEY, TX 766925177

    Phone: (254) 488-8409

    Type: Mailing

  • 1314 N BRAZOS ST

    WHITNEY, TX 766922010

    Phone: (254) 694-3621

    Fax: (254) 694-7436

    Type: Location

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: 2020-07-30

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
I20200730000992IClinical Social WorkerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76712)

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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: 3274759303View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the registry number for MS. MARY ANGELA CASANOVA (LCSW)?
The registry entry for MS. MARY ANGELA CASANOVA (LCSW) shows NPI 1063629335.
Should I treat MS. MARY ANGELA CASANOVA (LCSW) as an active provider?
Patients and plans typically see MS. MARY ANGELA CASANOVA (LCSW) as active in the national extract.
What type of care does MS. MARY ANGELA CASANOVA (LCSW) provide?
MS. MARY ANGELA CASANOVA (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. MARY ANGELA CASANOVA (LCSW)?
MS. MARY ANGELA CASANOVA (LCSW) shows a connection to Waco, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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