IndividualActive
Angela Short, LCSW
NPI 1063047496 · Clinical Social Worker · Fayette, MS
Angela Short, LCSW is a Clinical Social Worker provider in Fayette, MS (NPI 1063047496).
Provider details
- NPI number
- 1063047496
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- C7411 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
240 Mcnair Rd
Fayette, MS 39069-5540
Phone: (601) 786-7744
Approximate (ZIP-level) locationGet directions
Mailing address
240 Mcnair Rd
Fayette, MS 39069-5540
Registry dates
- Enumerated
- 2020-03-05
- Last updated
- 2020-03-05
- Certified
- 2020-03-05
Frequently asked questions
- What is Angela Short's NPI number?
- Angela Short's National Provider Identifier (NPI) is 1063047496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angela Short's specialty?
- Angela Short is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Angela Short located?
- Angela Short's practice location on file with NPPES is 240 Mcnair Rd, Fayette, MS 39069-5540.
- What is Angela Short's phone number?
- The practice phone number listed in the NPPES registry for Angela Short is (601) 786-7744.
- Is Angela Short's NPI active?
- Yes — Angela Short's NPI (1063047496) is active in the NPPES registry as of the last update on 2020-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.