Individual provider Active NPI

Angela Marie Kirker, LISW-S, LICDC-CS

  • Clinical Social Worker
  • Coshocton, OH
National Provider Identifier
1023556149
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700556-SUPV Issued in OH
Practice address
538 Main St Ste 309
Coshocton, OH 43812-1612
Phone
(740) 202-9754
Fax
(740) 870-2541
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161586 OH
Clinical Social Worker 1041C0700X I.1700556-SUPV OH Primary

Addresses

Primary practice location

538 Main St Ste 309
Coshocton, OH 43812-1612

Mailing address

1136 Orchard St
Coshocton, OH 43812-1743
Phone (740) 202-9754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220407000720 OH Practitioner - Clinical Social Worker 5890050355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1136 Orchard St
Coshocton, OH 43812-1743
Phone (740) 202-9754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.161586OHMDAddiction (Substance Use Disorder) Counselor
I.1700556-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum County Drug Alcohol & Substance Abuse Council Inc Addiction (Substance Use Disorder) CurrentSince Mar 29, 2022 Accepting new patients
Aligned Counseling & Wellness Services, LLC Clinical CurrentSince May 26, 2022 Accepting new patients

Locations

538 Main St
Ste 309
Coshocton, OH 43812
Phone (740) 202-9754

1127 W Main St
Zanesville, OH 43701
Phone (740) 454-1266

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1023556149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 ORCHARD ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121743",
            "telephone_number": "740-202-9754",
            "fax_number": "740-870-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 MAIN ST STE 309",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121612",
            "telephone_number": "740-202-9754",
            "fax_number": "740-870-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LISW-S, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161586",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700556-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.