Angela Gingerich

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007476A Issued in IN

Practice address

1004 Parkway Ave
Suite D
Elkhart, IN 46516-9348

Phone

(574) 293-0005

NPI assigned

Feb 29, 2016

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nottawaseppi Huron Band of the PotawatomiGroup PAC ID 2769441286, 8 clinicians

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.

• Nottawaseppi Huron Band of the Potawatomi

  • Federal Public Health Clinic/Center
  • Wyoming, MI
  • NPI 1770500548

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1083074462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 PARKWAY AVE",
            "address_2": "SUITE D",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169348",
            "telephone_number": "574-293-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PARKWAY AVE",
            "address_2": "SUITE D",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169348",
            "telephone_number": "574-293-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007476A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Gibson
• Lori Nan Gibson, APN
• Gifted Hands Personal Care Services
• Yuki Christine Gilbert, MSW
• Constance Gilliam
• Ginther Family Chiropractic, Inc.
• Jack L Ginther, D.C.
• Claire R Gisel, MSW
• Kristina Glass
• Samuel Glass

• Clinical Social Worker in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.