Individual provider Active NPI

Angela Marie Musich

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1184265225
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23800 Issued in MN
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 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

IdentifierTypeStateIssuer
104100000XMedicaidMN

Other names 1

  • Mrs. Angela Marie Musich Knapp Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
23800MNMDClinical 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.

Verify at the official NPI Registry.