Angela S Niffenegger, LICSW LAC LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4456 Issued in ND

Practice address

1407 24TH Ave S
Grand Forks, ND 58201-6761

Phone

(701) 213-0831

NPI assigned

May 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cambian Behavioral Health PLLC

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1083413777
  Medicare reassignment NPD Authorized official
• I Am Worth It, LLC

  • Clinical Social Worker
  • Thompson, ND
  • NPI 1235753823

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Northeast Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Forks, ND
  • NPI 1366496341
  Medicare reassignment NPD
• Northeast Human Service Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Grand Forks, ND
  • NPI 1891808978
  NPD

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1255508859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761",
            "telephone_number": "701-213-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761",
            "telephone_number": "701-213-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIFFENEGGER",
        "first_name": "ANGELA",
        "middle_name": "S",
        "credential": "LICSW LAC LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302260",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1725",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18337",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Nicholson
• Amber Michelle Nickerson, MS CF SLP
• Erik Niec, M.D.
• A Marc Nielsen, MD
• Sonya Kay Nielson, M.S. CCC-SLP
• Russell James Niffenegger, NP
• Elvira Nixon, CNA, TMA, QSP.
• Sylvia Chitom Nnamdi-Enwerem
• Jade Makae Noah, LAPC
• Nodak Optics Dba Pearle Vision

• Clinical Social Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.