Angela Lynn Nester, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087380 Issued in MI

Practice address

14960 E Park St
Capac, MI 48014-3177

Phone

(810) 395-4343

Fax

(810) 395-2985

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• St Clair County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Port Huron, MI
  • NPI 1689783672

  MI

  Medicare reassignment

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790795615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14960 E PARK ST",
            "city": "CAPAC",
            "state": "MI",
            "postal_code": "480143177",
            "telephone_number": "810-395-4343",
            "fax_number": "810-395-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14960 E PARK ST",
            "city": "CAPAC",
            "state": "MI",
            "postal_code": "480143177",
            "telephone_number": "810-395-4343",
            "fax_number": "810-395-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTER",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth A Jordan, LPC
• Karen Sue Kopka, LMSW
• Susan Kay Kraft, LMSW
• Melanie Ann Mailloux, LBSW
• Tracy Ann Matthews, LMSW
• SDS Pharmacy Inc
• Amy Lynn Simpson
• St Clair County Community Mental Health Authority
• St Clair County Community Mental Health Sud Services - Capac
• Marney Beth Studaker-Cordner, LMSW

• All providers in Capac, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.