Angela Jo Douglass, LLMSW
Individual provider Active NPI Clinical Social Worker · Jenison, MI
NPI 1871444604 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1871444604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6851120816
- Practice address
- 1354 Baldwin St
Jenison, MI 49428-8937 - Phone
- (313) 530-8055
- NPI assigned
- Feb 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851120816 | Yes |
Addresses
Primary practice location
1354 Baldwin St
Jenison, MI 49428-8937
Mailing address
1354 Baldwin St
Jenison, MI 49428-8937
Other providers in Jenison, MI
- Diana L Dillman
- Elise Renee Dirkse
- Ashley Dobbelaire
- Kayla Dodde
- Douglas P. Borst DDS P.C.
- Wendy Doxey
- Dr Edward Schmitt and Dr Marie McKay
- Dr. Edward P Schmitt, PLLC
- Dr. Marie a McKay PLLC
- Kelly Drenth
All providers in Jenison, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.