Angela Cilley, LMSW – Clinical Social Worker

Key facts

NPI: 1376973537
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 6801090381 (MI)
Practice address: 5103 Eastman Ave Ste 117
Midland, MI 48640-6723
Phone: (989) 455-8214
NPI assigned: Nov 25, 2013
Sex: Female
Sole proprietor: No

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.

Healthy Minds of Michigan Clinical Social Worker · Midland, MI · NPI 1053095604

Medicare reassignment NPD Authorized official CLINICAL · MI

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Wayne State University School of Medicine, 2008
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5103 Eastman Ave
Suite 117
Midland, MI 48640-6723
Phone (989) 455-8214

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20161206001224	MI	Practitioner - Clinical Social Worker	9537449772	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
6801090381	MI	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Healthy Minds of Michigan	Clinical	Current since Jun 1, 2023	Accepting new patients

Locations

5103 Eastman Ave
Ste 117
Midland, MI 48640
Phone (989) 455-8214

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	6801090381	MI	Yes

Addresses

Primary practice location

5103 Eastman Ave Ste 117
Midland, MI 48640-6723

Mailing address

5103 Eastman Ave Ste 117
Midland, MI 48640-6723
Phone (989) 455-8214

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2023.

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1376973537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE STE 117",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406723",
            "telephone_number": "989-455-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE STE 117",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406723",
            "telephone_number": "989-455-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILLEY",
        "first_name": "ANGELA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

All providers in Midland, MI · Clinical Social Worker in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.