Individual provider Active NPI

Angela Fessler, LCSW, CSAC

  • Clinical Social Worker
  • Beloit, WI
National Provider Identifier
1992360531
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11787 Issued in WI
Practice address
645 3Rd St
Beloit, WI 53511-6256
Phone
(608) 289-7064
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18191-130 WI
Clinical Social Worker 1041C0700X 11787 WI Primary

Addresses

Primary practice location

645 3Rd St
Beloit, WI 53511-6256

Mailing address

645 3Rd St
Beloit, WI 53511-6256
Phone (608) 289-7064

Other identifiers 1

IdentifierTypeStateIssuer
1124242177MedicaidWI

Other names 1

  • Angela Pennell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240731000649 WI Practitioner - Clinical Social Worker 4789121419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Recovery LLCGroup PAC ID 6305292574, 6 clinicians

Practice addresses (Care Compare)

313 Price PL
Suite 208
Madison, WI 53705-3262
Phone (608) 571-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18191-130WIMDAddiction (Substance Use Disorder) Counselor
134074WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Recovery LLC CurrentSince Jun 17, 2024 Accepting new patients
Rock Valley Community Programs, Inc. PastSince Jul 1, 2023 Accepting new patients

Locations

313 Price Pl
Ste 208
Madison, WI 53705
Phone (608) 571-3866

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": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1992360531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 3RD ST",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116256",
            "telephone_number": "608-289-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 3RD ST",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116256",
            "telephone_number": "608-289-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSLER",
        "first_name": "ANGELA",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18191-130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124242177",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PENNELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.