IndividualActive
Angela Mouse, LICSW
NPI 1639108558 · Clinical Social Worker · Charleston, WV
Provider details
- NPI number
- 1639108558
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- DP00080368 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
100 Peyton Way
Charleston, WV 25314
Phone: (304) 720-8466
Fax: (304) 720-8463
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7310
Charleston, WV 25356-0310
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.