Angela Mecagni Allen, LCSW
Individual provider Active NPI Clinical Social Worker · Moline, IL
NPI 1679956833 · NPPES record last updated Jul 7, 2015
Key facts
- NPI
- 1679956833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.017547 (IL)
- Practice address
- 4600 3Rd St
Moline, IL 61265-6106 - Phone
- (309) 779-2031
- Fax
- (309) 779-2167
- NPI assigned
- Jul 7, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.017547 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.017547 | IL | Yes |
Addresses
Primary practice location
4600 3Rd St
Moline, IL 61265-6106
Mailing address
4600 3Rd St
Moline, IL 61265-6106
Phone (309) 779-2031
Other providers in Moline, IL
- Himabindu Alla
- Nandita Alla
- Rajesh Alla
- Suresh Alla
- Venkateswararao Alla
- Lawrence W Allen
- Melinda Sue Allison
- Allure of the Quad Cities, LLC
- Stacy L. Almanza
- Alternative Energy Builders
All providers in Moline, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2015. 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.