Angela Marie Fowler, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089159 Issued in MI

Practice address

5031 Park Lake Rd
Medidian Professional Psychological Consultants
East Lansing, MI 48823

Phone

(517) 332-0811

Fax

(517) 332-4452

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Meridian Professional Psychological Consultants

  • Psychiatry Physician
  • East Lansing, MI
  • NPI 1225150139
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1790953552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 LOCKWOODE CT",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "48842",
            "telephone_number": "517-694-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 PARK LAKE RD",
            "address_2": "MEDIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-332-0811",
            "fax_number": "517-332-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fortier-Lick, LMSW
• Halle Grace Fortier
• Rachel Foshee, MD
• Mariah Foster
• Mary Jane Foster, M.A., L.P.C.
• Bridget Luczyk Fowler
• Elizabeth A Fox, PT
• Weslynn Fox, BCBA, LBA
• Tatianna Fraley
• Brandon Francis, MD, MPH

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.