Angela L Konin, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06789100 Issued in NJ

Practice address

245C Nassau St
Princeton, NJ 08540-4619

Phone

(609) 477-0401

NPI assigned

Jun 20, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Rutgers New Jersey Medical School, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• TLP Consulting Group LLC

  • Clinical Social Worker
  • Princeton, NJ
  • NPI 1033606942
  Medicare reassignment NPD

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1063733459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C7 CARVER PL",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481419",
            "telephone_number": "609-477-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245C NASSAU ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404619",
            "telephone_number": "609-477-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 N 50th Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681321524",
            "country_code": "US",
            "telephone_number": "402-250-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONIN",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-20",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01360200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06789100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Koganti, MD
• John Kolligian Jr., PH.D.
• Maggie Kollmar
• Heather Kong, LCSW
• Ji Yong Kong, M.D.
• Julia Koo, DDS
• Ian Kornbluth, MPT
• Kossow & Sandberg MD LLC
• Lynne Becker Kossow, MD
• Kotsen Psychological Services

• Clinical Social Worker in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.