Active NPI
Angelita E Valdez, LMSW
- Social Worker
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801088033
- Practice address
- 1061 S Getty St
Muskegon, MI 49442-4066 - Phone
- (231) 722-7980
- Fax
- (231) 722-7979
- NPI assigned
- Dec 26, 2008
- Last updated
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801088033 | MI | Primary |
| Clinical Social Worker | 1041C0700X | NU | ||
| School Social Worker | 1041S0200X | NU |
Addresses
Primary practice location
1061 S Getty St
Muskegon, MI 49442-4066
Mailing address
PO Box 1588
Muskegon, MI 49443-1588
Phone (231) 343-1360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1712452 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801088033 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Muskegon | Current | Accepting new patients | |
| Servicios de Esperanza, LLC | Social Worker | Current | Accepting new patients |
| County of Muskegon | Current | Accepting new patients | |
| Hackley Community Care Center Inc | Past | Accepting new patients |
Locations
1061 S Getty St
Muskegon, MI 49442
Phone (231) 343-1360
376 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-3699
427 Seminole Rd
Ste 200A
Norton Shores, MI 49444
Phone (231) 286-6436
640 Seminole Rd
Norton Shores, MI 49441
Phone (231) 332-3827
Organizations & group practices 4
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.
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-
dba Brookhaven Medical Care Facility
- Skilled Nursing Facility
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- NPI 1659440816
-
dba Muskegon Middle School
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1962881862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1053557926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1588",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431588",
"telephone_number": "231-343-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 S GETTY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494424066",
"telephone_number": "231-722-7980",
"fax_number": "231-722-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "ANGELITA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-26",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801088033",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1712452",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.