Angela L Pitsenberger, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012377 Issued in IL

Practice address

155 E Iroquois St
Sheldon, IL 60966-8187

Phone

(815) 228-3025

NPI assigned

Oct 17, 2006

Last updated

Apr 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1710067343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E IROQUOIS ST",
            "address_2": "PO BOX 356",
            "city": "SHELDON",
            "state": "IL",
            "postal_code": "609668187",
            "telephone_number": "815-228-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E IROQUOIS ST",
            "city": "SHELDON",
            "state": "IL",
            "postal_code": "609668187",
            "telephone_number": "815-228-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITSENBERGER",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iroquois Memorial Hospital (IMH Sheldon Clinic)
• Iroquois Mental Health Center
• Iroquois Mental Health Center
• Peggy McRoberts, OTR
• Petersen Health Enterprises LLC (Sheldon Health Care Center)
• Dawn Short, RRT
• William D. McCarthy, M.D., LLC.

• Clinical Social Worker in Sheldon, IL
• Providers in Sheldon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.