| Angela Vargas-avendano Msw Plc | |
|
130 W Wood St Newaygo MI 49337-8991 | |
| (231) 206-6519 | |
| Not Available |
| Full Name | Angela Vargas-avendano Msw Plc |
|---|---|
| Speciality | Social Worker |
| Location | 130 W Wood St, Newaygo, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Vargas-avendano Msw Plc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Angela Vargas-avendano Msw Plc 130 W Wood St Newaygo MI 49337-8991 Ph: (231) 206-6519 |
| NPI Number | 1144742263 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 7113298100 |
|---|---|
| Medicare Enrollment ID | O20170809003336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144742263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Angela R Vargas-avendano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669801684 PECOS PAC ID: 0446521439 Enrollment ID: I20170809003605 |
| Provider Name | Carley Christine Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487207965 PECOS PAC ID: 0547656845 Enrollment ID: I20220414001020 |
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