Provider Demographics
NPI:1093947376
Name:DUPREE, ANGELUS TW (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:ANGELUS
Middle Name:TW
Last Name:DUPREE
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8976 NEPONSET DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-3580
Mailing Address - Country:US
Mailing Address - Phone:916-884-0607
Mailing Address - Fax:
Practice Address - Street 1:725 30TH ST STE 209
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3842
Practice Address - Country:US
Practice Address - Phone:916-884-0607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29148101YM0800X
CA77673101YM0800X, 1041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health