Individual provider Active NPI

Anjeliaca Maria Rhan, LLMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1609587807
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851107023 Issued in MI
Practice address
5955 W Main St
Kalamazoo, MI 49009-9101
Phone
(269) 359-0151
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 6851107023 MI Primary

Addresses

Primary practice location

5955 W Main St
Kalamazoo, MI 49009-9101

Mailing address

1315 Gardner Pond LN
Vicksburg, MI 49097-7785
Phone (269) 626-6107

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.willowpathcounseling.com/ Other Willow Path Counseling Services

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

117 W Paterson St
Kalamazoo, MI 49007-2557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851107023MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1609587807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 GARDNER POND LN",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490977785",
            "telephone_number": "269-626-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099101",
            "telephone_number": "269-359-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHAN",
        "first_name": "ANJELIACA",
        "middle_name": "MARIA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851107023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.willowpathcounseling.com/",
            "affiliation": "Y",
            "endpointDescription": "Business website",
            "affiliationName": "Willow Path Counseling Services",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "5955 W Main St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490099101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.