Individual provider Active NPI

Angela Haas

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1962794230
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091162 Issued in MI
Practice address
1010 N Madison Ave
Bay City, MI 48708-5926
Phone
(989) 895-2200
NPI assigned
May 5, 2011
Last updated
May 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091162 MI Primary

Addresses

Primary practice location

1010 N Madison Ave
Bay City, MI 48708-5926

Mailing address

6781 Griffore Dr
Saginaw, MI 48604-9718

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
I20110519000164 MI Practitioner - Clinical Social Worker 2466638820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Bay Health PLLC CurrentSince Sep 1, 2024 Accepting new patients
Serenity Bay Health PLLC PastSince Sep 1, 2024 Accepting new patients
Bay Arenac Behavioral Health Past Accepting new patients

Locations

946 W Midland Rd
Auburn, MI 48611
Phone (989) 266-3188

1426 Straits Dr
Bay City, MI 48706
Phone (989) 266-3188

204 W Buttles St
Midland, MI 48640

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1962794230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 GRIFFORE DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N MADISON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085926",
            "telephone_number": "989-895-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.