Angela Edward, LMSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106655 Issued in MI

Practice address

412 Heyser St.
Jackson, MI 49203-3562

Phone

(517) 748-1553

NPI assigned

Aug 6, 2020

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 names 1

• Angela Gbeyetin Former name

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maturity MattersGroup PAC ID 5597120204, 17 clinicians

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.

• Maturity Matters

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1386353472
  Medicare reassignment Care Compare group NPD
• Heckendorn Consultation and Therapy, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1467883587
  NPD

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1417567215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HEYSER ST.",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033562",
            "telephone_number": "517-748-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 HEYSER ST.",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033562",
            "telephone_number": "517-748-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARD",
        "first_name": "ANGELA",
        "credential": "LMSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GBEYETIN",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tabatha Eddy
• Margaret Anne Edger, CCHW, CPRC
• Tamara Sue Edinger, LMSW, ACSW
• Jose Tad-Y Edurese, MD
• Edward C Robles MD PLLC
• Cassandra Edwards
• Diaja Edwards
• Diamond Edwards
• Hilary Edwards, RD
• Kristine Edwards, NP-BC

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

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