Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angie Tavares, LCSW

Individual provider Mental Health Counselor · NPI 1154005007

Angie Tavares, LCSW is a Clinical Social Worker in New Bedford, Massachusetts. Qualified in 2021, 5 years ago. Practices with The Commonwealth of Massachusetts, a 144-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

965 Church St
New Bedford, MA 02745-1400
Phone: (508) 996-3154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 227884 (MA)

Record details

NPI number1154005007
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Commonwealth Of Massachusetts — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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