Angielia Lee Brooks, LCSW
Individual provider Active NPI Clinical Social Worker · Lebanon, IN
NPI 1568926558 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1568926558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34008397A (IN)
- Practice address
- 610 N Lebanon St
Lebanon, IN 46052-1716 - Phone
- (765) 680-0071
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Treatment and Recovery Center, LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008397A | IN | Yes |
Addresses
Primary practice location
610 N Lebanon St
Lebanon, IN 46052-1716
Mailing address
610 N Lebanon St
Lebanon, IN 46052-1716
Phone (765) 680-0071
Other names
- Angielia Mix
Other providers in Lebanon, IN
- Madyson Boyer
- Tracee L Boyles
- Audrey Bozarth
- Rebecca Bradley
- Benjamin Brewster
- Erin Brooks
- Stephanie Renee Brooks
- Emjae Brown
- Gwendolyn J Brown
- Patricia Brown
All providers in Lebanon, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.