Active NPI
Angela Marie Musich
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1184265225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23800
- Practice address
- 4556 46TH Ave S Apt 403
Minneapolis, MN 55406-4441 - Phone
- (612) 219-9557
- NPI assigned
- Sep 30, 2019
- Last updated
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23800 | MN | Primary |
Addresses
Primary practice location
4556 46TH Ave S Apt 403
Minneapolis, MN 55406-4441
Mailing address
525 Portland Ave # Mc961
Minneapolis, MN 55415-1533
Phone (612) 219-9557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104100000X | Medicaid | MN |
Other names 1
- Mrs. Angela Marie Musich Knapp
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.hennepincounty.us |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23800 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1184265225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 PORTLAND AVE # MC961",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151533",
"telephone_number": "612-219-9557",
"fax_number": "612-466-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4556 46TH AVE S APT 403",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554064441",
"telephone_number": "612-219-9557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSICH",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "23800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104100000X",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.hennepincounty.us",
"affiliation": "N",
"address_1": "525 Portland Avenue",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "55415",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "KNAPP",
"middle_name": "MARIE MUSICH",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.