Angie Denicholas

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

8261 Market St
Boardman, OH 44512-6254

Phone

(330) 286-0050

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Churchill Counseling Services, Inc.Group PAC ID 3779532262, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Churchill Counseling Services, Inc

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1013996271
  Medicare reassignment Care Compare group NPD
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1538353883
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1265910855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 SCHEETZ ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092239",
            "telephone_number": "330-261-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126254",
            "telephone_number": "330-286-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENICHOLAS",
        "first_name": "ANGIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "104100000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Demart, LPCC
• Theresanne Demartino Ringler, DO, MS
• Nicole M Dematteis, CDCA
• Deandra Demes, OT
• Mark C Demetrios, CNP
• Dennis P Orr II DO LLC
• Dental Express Boardman, Ted a Schuster DDS LLC
• Desai G. Krishna-Rao
• David Paul Desantis, D.C.
• Dianne Marie Despetorich, CPNP-PC

• Social Worker in Boardman, OH
• Providers in Boardman, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.