Individual provider Active NPI

Angela Niyonsenga, LMSW

  • Clinical Social Worker
  • Brighton, MI
National Provider Identifier
1497166482
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
680109445 Issued in MI
Practice address
142 Brighton Lake Rd
Brighton, MI 48116-1738
Phone
(810) 243-2539
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 680109445 MI Primary

Addresses

Primary practice location

142 Brighton Lake Rd
Brighton, MI 48116-1738

Mailing address

8748 Rio Vista St
Brighton, MI 48116-2016
Phone (810) 243-2539

Other names 1

  • Angela Niyonsenga Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
680109445MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Niyonsenga LMSW PLLC Clinical CurrentSince May 21, 2023 Accepting new patients
Two Roads Wellness Center PLLC Past Accepting new patients
Med Sports Vantage PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1497166482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8748 RIO VISTA ST",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162016",
            "telephone_number": "810-243-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BRIGHTON LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161738",
            "telephone_number": "810-243-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIYONSENGA",
        "first_name": "ANGELA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680109445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NIYONSENGA",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.