Individual provider Active NPI

Angelita E Valdez, LMSW

  • Social Worker
  • Muskegon, MI
National Provider Identifier
1053557926
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801088033 Issued in MI
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1712452MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130515000657 MI Practitioner - Clinical Social Worker 8224275037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801088033MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Muskegon CurrentSince Mar 2, 2022 Accepting new patients
Servicios de Esperanza, LLC Social Worker CurrentSince Sep 1, 2014 Accepting new patients
County of Muskegon CurrentSince Mar 2, 2022 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.

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

Verify at the official NPI Registry.