Angela Eva Pena, LMSW, CBIS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089519 Issued in MI

Practice address

1806 Lindy Dr
Lansing, MI 48917-9734

Phone

(517) 940-0905

NPI assigned

Sep 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Angela Eva Spagnuolo Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

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.

• Kingdom Counseling Services LLC

  • Social Worker
  • Lansing, MI
  • NPI 1497240097
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1053507616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 LINDY DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489179734",
            "telephone_number": "517-940-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 LINDY DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489179734",
            "telephone_number": "517-940-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ANGELA",
        "middle_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SPAGNUOLO",
            "middle_name": "EVA",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pediatric Care of Lansing PC
• Pediatric Physicians of Lansing
• Isaac Nicholas Peeters, LLPC
• Elizabeth Margery Pelletier, PAC
• Pelvic and Beyond Specialized Physical Therapy
• Emma Katherine Pence
• Allysa Pennington, LLPC
• Travis Andrew Penrod, DPT
• Lashawn Peoples, AASN, CHW
• Agustin Perez Rodriguez, NP

• Clinical Social Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.