Individual provider Active NPI

Angela Sniecinski, LMSW, CADC, QMHP

  • Clinical Social Worker
  • Waterford, MI
National Provider Identifier
1912336819
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801110666 Issued in MI
Practice address
279 Summit Dr
Waterford, MI 48328-3364
Phone
(248) 745-4900
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-01355 MI
Social Worker 104100000X 6801104630 MI
Clinical Social Worker 1041C0700X 6801104630 MI
Peer Specialist 175T00000X MI
Clinical Social Worker 1041C0700X 6801110666 MI Primary

Addresses

Primary practice location

279 Summit Dr
Waterford, MI 48328-3364

Mailing address

279 Summit Dr
Waterford, MI 48328-3364
Phone (248) 745-4900

Other practice location 1

189 W Clarkston Rd
Lake Orion, MI 48362-2892
Phone (844) 642-9273

Other practice location 2

201 Mulholland St Fl 3
Bay City, MI 48708-7693
Phone (989) 892-2802 ext. 2375

Other practice location 3

3190 Hallmark Ct
Saginaw, MI 48603-2190
Phone (989) 790-3366

Other practice location 4

1841 N Perry St
Pontiac, MI 48340-2235
Phone (248) 745-4900

Other names 1

  • Angela Zander Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.cnsmi@direct.mihn.net Direct CNS Healthcare

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210831003229 MI Practitioner - Clinical Social Worker 1052717931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2-01355MIMDAddiction (Substance Use Disorder) Counselor
6801104630MIMDSocial Worker
6801110666MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bay-Arenac Behavioral Health CurrentSince Aug 17, 2021 Accepting new patients
CNS Healthcare PastSince Apr 24, 2020 Accepting new patients

Locations

201 Mulholland St
Fl 3
Bay City, MI 48708
Phone 9898922802 ext. 2375

201 Mulholland St
Bay City, MI 48708
Phone (989) 895-2222

Organizations & group practices 2

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1912336819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 SUMMIT DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283364",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 SUMMIT DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283364",
            "telephone_number": "248-745-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 W Clarkston Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483622892",
            "country_code": "US",
            "telephone_number": "844-642-9273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Mulholland St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487087693",
            "country_code": "US",
            "telephone_number": "989-892-2802 x2375",
            "fax_number": "989-497-1357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3190 Hallmark Ct",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032190",
            "country_code": "US",
            "telephone_number": "989-790-3366",
            "fax_number": "989-790-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 N Perry St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483402235",
            "country_code": "US",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIECINSKI",
        "first_name": "ANGELA",
        "credential": "LMSW, CADC, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01355",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801104630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104630",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.cnsmi@direct.mihn.net",
            "affiliation": "Y",
            "affiliationName": "CNS Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24230 Karim Blvd",
            "address_2": "Suite 100",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483752960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ZANDER",
            "credential": "LLMSW, LMSW, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.