Individual provider Active NPI

Angela Marie Thompson, LMSW, CADC-M

  • Clinical Social Worker
  • Norton Shores, MI
National Provider Identifier
1134571805
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097086 Issued in MI
Practice address
740 Ross Rd
Norton Shores, MI 49441-4960
Phone
(231) 215-2535
NPI assigned
Jul 6, 2016
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801097086 MI Primary

Addresses

Primary practice location

740 Ross Rd
Norton Shores, MI 49441-4960

Mailing address

740 Ross Rd
Norton Shores, MI 49441-4960
Phone (231) 215-2535

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
I20161130000198 MI Practitioner - Clinical Social Worker 8325328891 Practice locations: Whitehall, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1321 E Colby
2 Angela Thompson Counseling Service
Whitehall, MI 49461-1209
Phone (231) 215-2535

740 Ross Rd
Norton Shores, MI 49441-4960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097086MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios de Esperanza, LLC Social Worker CurrentSince Oct 24, 2016 Accepting new patients

Locations

1061 S Getty St
Muskegon, MI 49442
Phone (231) 343-1360

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1134571805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 ROSS RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414960",
            "telephone_number": "231-215-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 ROSS RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414960",
            "telephone_number": "231-215-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CADC-M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.