Individual provider Active NPI

Angela Anne Williams, APSW

  • Social Worker
  • Kenosha, WI
National Provider Identifier
1093148165
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8092-123 Issued in WI
Practice address
8503 75TH St
Suite a
Kenosha, WI 53142-7620
Phone
(262) 654-9370
Fax
(262) 654-9379
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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 8092-123 WI Primary
Social Worker 104100000X 162959-130 WI
Social Worker 104100000X 128369-121 WI

Addresses

Primary practice location

8503 75TH St
Suite a
Kenosha, WI 53142-7620

Mailing address

8503 75TH St
Suite a
Kenosha, WI 53142-7620
Phone (262) 654-9370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20131202001320 WI Practitioner - Clinical Social Worker 5193951853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aalto Enhancement Center, S.C.Group PAC ID 0244139541, 2 clinicians

Practice addresses (Care Compare)

8503 75TH St
Suite a
Kenosha, WI 53142-7620
Phone (262) 654-9370

8503 75TH St a
Kenosha, WI 53142-7620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128369-121WIMDSocial Worker
162959-130WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aalto Enhancement Center, S.C. CurrentSince Oct 25, 2013 Accepting new patients

Locations

8503 75th St
Ste A
Kenosha, WI 53142
Phone (262) 654-9370

Organizations & group practices 1

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1093148165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 75TH ST",
            "address_2": "SUITE A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427620",
            "telephone_number": "262-654-9370",
            "fax_number": "262-654-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 75TH ST",
            "address_2": "SUITE A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427620",
            "telephone_number": "262-654-9370",
            "fax_number": "262-654-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "ANNE",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "8092-123",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "162959-130",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "128369-121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.