Angela Kristine Ackley, LCSW129002

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW129002 Issued in CA

Practice address

118 Belle Mill Rd
Red Bluff, CA 96080-2850

Phone

(530) 840-2000

NPI assigned

Mar 31, 2022

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victor Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Red Bluff, CA
  • NPI 1720751837
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1013657519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BELLE MILL RD",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802850",
            "telephone_number": "530-840-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BELLE MILL RD",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802850",
            "telephone_number": "530-840-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLEY",
        "first_name": "ANGELA",
        "middle_name": "KRISTINE",
        "credential": "LCSW129002",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW100654",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW129002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Jean Abel, LVN
• Absolute Mobility Driver
• Adventist Health California Medical Group, Inc. (Coon Joint Replacement Institute)
• Aegis Treatment Centers, LLC
• Shruti Aggarwal, MBBS
• Sean W Agy, DENTAL HYGIENIST
• Saeid Ahmadpour, MD

• Clinical Social Worker in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.