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

Angela Short, LCSW

Individual provider Clinical Social Worker · NPI 1063047496

Angela Short, LCSW is a Clinical Social Worker in Fayette, Mississippi. Qualified in 2016, 10 years ago. Practices with Uppal Medical Center LLC, a 131-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2020
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

240 McNair Rd
Fayette, MS 39069-5540
Phone: (601) 786-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C7411 (MS)

Record details

NPI number1063047496
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 5, 2020
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Uppal Medical Center Llc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Uppal Medical Center LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 131 clinicians in the practice; 12 are shown here.