Angela Nichelle Minix, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12143 Issued in MD

Practice address

200 E North Ave
Baltimore, MD 21202-5984

Phone

(443) 984-2000

NPI assigned

May 22, 2007

Last updated

Feb 28, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1811107758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 NORTHMONT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442951",
            "telephone_number": "443-768-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025984",
            "telephone_number": "443-984-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Bald Eagle Ct",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211333017",
            "country_code": "US",
            "telephone_number": "443-768-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINIX",
        "first_name": "ANGELA",
        "middle_name": "NICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siri Ming, M.A.
• Anum Sohail Minhas, MD
• Joseph A Mininni, MD
• Michael Joseph Mininsohn, M.D.
• Ana Minisci, SLP
• Stanley L Minken, MD
• Helen Minkin, OTR/L
• Samuel Minkove, M.D.
• Cynthia Schaffer Minkovitz, M.D.
• Hmu Minn, M.D.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.