Angela Marie Smith-Misja, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1200256 Issued in OH

Practice address

33480 Liberty Pkwy
North Ridgeville, OH 44039-2670

Phone

(440) 732-5252

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Marie Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Phoenix Counseling Center LLC

  • Professional Counselor
  • North Ridgeville, OH
  • NPI 1801309141
  NPD (past)
• Phoenix Counseling Center LLC

  • Mental Health Counselor
  • North Ridgeville, OH
  • NPI 1992426050
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1235871930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 NEW HAVEN DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33480 LIBERTY PKWY",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392670",
            "telephone_number": "440-732-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-MISJA",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1200256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "credential": "BSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marika Ann Serhane
• Leslie A Shaw, RD, LD, PA-C
• Corey Shingleton, M.ED.
• Alexandria Nicole Sikora
• Denise Marie Sklenicka
• Sonotech Services Inc
• Adam Spacagna
• Jennifer Lea Sperry, RN
• David W Spillar, DDS
• Stay at Home Modifications Inc

• Social Worker in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.