ANGELA MCMULLIN (NPI# 1053767558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053767558 |
| Entity Type | Individual |
| Full Name | ANGELA MCMULLIN |
| Credential | LCSW |
| Practice Address |
13260 N 94th Dr Ste 100 Peoria AZ 85381-4242 |
| Mailing Address |
2875 Highway Mm Gray Summit MO 63039-1001 |
| Practice Telephone | 6234877763 |
| Practice Fax Number | 6234868276 |
| Mailing Telephone | 4802029545 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-18593 | AZ | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2018043211 | MO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2016010634 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2875 Hwy Mm, Gray Summit, MO 63039 | 6364516066 | |
| 22312 E. Boot Hill Parkway, Fort Mcdowell, AZ 85264 | 4802029545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871942920 | Angela Mcmullin | Dentist | 951 Brickell Avenue, 3310, Miami, FL 33131 | 2016-06-09 |
| 1164721759 | Angela M Mcmullin | Registered Nurse | 3804 Richs Corners Rd, Albion, NY 14411-9540 | 2011-03-22 |
| Street Address |
13260 N 94TH DR STE 100 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124173471 | Desert View Counseling & Consulting Inc | Counselor | 13260 N 94th Dr Ste 100, Peoria, AZ 85381-4242 | 2007-01-25 |
| 1891293817 | Kevin Moler | Counselor | 13260 N 94th Dr Ste 100, Peoria, AZ 85381-4242 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857305 | Kelsey Hardy | Social Worker | 306 Pecan St, Peoria, IL 61602-1662 | 2020-10-05 |
| 1821608985 | Jozie Allen | Social Worker | 1001 Main St Ste 107, Peoria, IL 61606-1907 | 2020-08-04 |
| 1811533276 | Portia Elizabeth Adams | Social Worker | 712 E War Memorial Dr, Peoria, IL 61616-7548 | 2019-11-20 |
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1205498573 | Leith Elan Bucher | Social Worker | 1801 W Gardenia Dr Apt 13312, Peoria, IL 61615-7098 | 2019-07-08 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1568934164 | Venus E Evans-winters | Social Worker | 4507 N Sterling Ave Ste 201, Peoria, IL 61615-3861 | 2018-12-19 |
| 1700301058 | Lisa Gail Childers | Social Worker | 508 W Timber Ridge Dr, Peoria, IL 61615-2057 | 2017-08-08 |
| 1538608690 | Phoenix Wellness, LLC | Social Worker | 2020 W War Memorial Dr, Ste 304, Peoria, IL 61614-6754 | 2017-02-21 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.