Individual provider Active NPI

Angelique Rinearson, LMSW

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1235587270
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094139 Issued in MI
Practice address
5103 Eastman Ave Ste 173
Midland, MI 48640-6795
Phone
(989) 289-1497
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 6801094139 MI Primary

Addresses

Primary practice location

5103 Eastman Ave Ste 173
Midland, MI 48640-6795

Mailing address

5103 Eastman Ave Ste 173
Midland, MI 48640-6795
Phone (989) 289-1497

Other practice location 1

208 Hidden Stone Ct
Midland, MI 48640
Phone (989) 835-2950

Other practice location 2

208 Hidden Stone Ct
Midland, MI 48640
Phone (989) 835-2950

Other practice location 3

5103 Eastman Ave Ste 237
Midland, MI 48640
Phone (989) 289-1497

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
I20160713000904 MI Practitioner - Clinical Social Worker 7113219056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

706 Ashman St
Midland, MI 48640-4907
Phone (989) 289-1497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1235587270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE STE 173",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406795",
            "telephone_number": "989-289-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE STE 173",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406795",
            "telephone_number": "989-289-1497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Hidden Stone Ct",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "48640",
            "country_code": "US",
            "telephone_number": "989-835-2950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Hidden Stone Ct",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "48640",
            "country_code": "US",
            "telephone_number": "989-835-2950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5103 Eastman Ave Ste 237",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "48640",
            "country_code": "US",
            "telephone_number": "989-289-1497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINEARSON",
        "first_name": "ANGELIQUE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.