Organization Active NPI

Anew Angela Muhs Licsw PLLC

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1508426313
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANEW ANGELA MUHS LICSW PLLC
Practice address
117 N Washington St Ste C
Grand Forks, ND 58203-3450
Phone
(701) 740-0634
NPI assigned
Jun 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Angela Muhs, MSW, LICSWNPI 1457365082
Title
Owner
Phone
(701) 740-0634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

117 N Washington St Ste C
Grand Forks, ND 58203-3450

Mailing address

117 N Washington St Ste C
Grand Forks, ND 58203-3450
Phone (701) 740-0634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190906002486 ND Part B Supplier - Clinic/Group Practice 9032448634 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Forks, ND

National Provider Directory

National Provider Directory

Locations

117 N Washington St
Ste C
Grand Forks, ND 58203
Phone (218) 791-0401

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1508426313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033450",
            "telephone_number": "701-740-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033450",
            "telephone_number": "701-740-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW ANGELA MUHS LICSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "MUHS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-740-0634",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.