Individual provider Active NPI

Angela Brownemiller, PHD, DSW, MSW, MPH

  • Clinical Social Worker
  • Petaluma, CA
National Provider Identifier
1780060053
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11520 Issued in CA
Practice address
775 Baywood Dr Ste 111a
Petaluma, CA 94954-5500
Phone
(415) 377-5327
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 LCS11520 CA Primary

Addresses

Primary practice location

775 Baywood Dr Ste 111a
Petaluma, CA 94954-5500

Mailing address

PO Box 2505
Rohnert Park, CA 94927-2505
Phone (415) 377-5327

Other names 1

  • Dr. Angela Browne-Miller Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS11520CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Health Management Psychological Corporation CurrentSince Jan 1, 2025 Accepting new patients

Locations

4110 Edison Ave
Ste 206A
Chino, CA 91710
Phone (951) 454-5577

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1780060053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2505",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949272505",
            "telephone_number": "415-377-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 BAYWOOD DR STE 111A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545500",
            "telephone_number": "415-377-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNEMILLER",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PHD, DSW, MSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BROWNE-MILLER",
            "prefix": "DR.",
            "credential": "PHD, DSW, MPH, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.