| Angie Mcdaniel Llc | |
|
7570 W 21st St N Ste 1050e Wichita KS 67205-1763 | |
| (316) 285-0657 | |
| (216) 260-9342 |
| Full Name | Angie Mcdaniel Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7570 W 21st St N Ste 1050e, Wichita, Kansas |
| Authorized Official Name and Position | Angie Mcdaniel (OWNER) |
| Authorized Official Contact | 3162850657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angie Mcdaniel Llc 7570 W 21st St N Ste 1050e Wichita KS 67205-1763 Ph: (316) 285-0657 | Angie Mcdaniel Llc 7570 W 21st St N Ste 1050e Wichita KS 67205-1763 Ph: (316) 285-0657 |
| NPI Number | 1831874676 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Medicare PECOS PAC ID | 8426416595 |
|---|---|
| Medicare Enrollment ID | O20230621003326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831874676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angela Mae Mcdaniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033348305 PECOS PAC ID: 9335507409 Enrollment ID: I20230621003396 |
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