Angela L Pitsenberger, M.S.W., L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Sheldon, IL
NPI 1710067343 · NPPES record last updated Apr 22, 2015
Key facts
- NPI
- 1710067343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149012377 (IL)
- Practice address
- 155 E Iroquois St
Sheldon, IL 60966-8187 - Phone
- (815) 228-3025
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 149012377 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 149012377 | IL | Yes |
Addresses
Primary practice location
155 E Iroquois St
Sheldon, IL 60966-8187
Mailing address
155 E Iroquois St
PO Box 356
Sheldon, IL 60966-8187
Phone (815) 228-3025
Other providers in Sheldon, IL
- Iroquois Memorial Hospital
- Iroquois Mental Health Center
- Iroquois Mental Health Center
- Peggy McRoberts
- Petersen Health Enterprises LLC
- Dawn Short
- William D. McCarthy, M.D., LLC.
All providers in Sheldon, 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 Apr 22, 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.