ANGELA MAKEBA MYERS


Address: 393 Dunlap St N Ste 736, Saint Paul, MN 55104-4205
Phone: 6122895656

ANGELA MAKEBA MYERS (NPI# 1932607199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932607199
Entity Type Individual
Full Name ANGELA MAKEBA MYERS
Credential LISCW
Practice Address 393 Dunlap St N Ste 736
Saint Paul
MN 55104-4205
Practice Telephone 6122895656
Practice Fax Number 6519250278
Mailing Telephone 6122895656
Mailing Fax Number 6519250278
Enumeration Date 2018-01-23
Last Update Date 2018-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
24391 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN NPI 1780011510 01
MN TAX ID 46-3824598 01

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Office Location

Street Address 393 DUNLAP ST N STE 736
City SAINT PAUL
State MN
Zip Code 55104-4205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104309434 Roots Recovery Clinic/Center 393 Dunlap St N Ste 736, Saint Paul, MN 55104-4205 2018-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891339131 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 2019-10-30
1629541644 Michael P Cain Counselor 1821 University Ave West, Suite N385, St. Paul, MN 55104 2019-01-03
1295219657 Awaken Recovery Center L.l.c Counselor 400 Suite D 393 North Dunlap, St Paul, MN 55104 2018-09-21
1285115634 American Current Care of Minnesota PC Clinic/Center 570 Asbury St Ste 101, Saint Paul, MN 55104 2018-08-23
1699262501 B & M Vital Homecare LLC. Home Health 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 2018-04-16
1134621600 Lauren Fullerton Counselor 1821 University Ave W., Suite N385, St. Paul, MN 55104 2018-03-01
1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
1750802476 Ha Vo Counselor 451 Lexington Parkway North, St. Paul, MN 55104 2017-07-03
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

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1396399002 Shauna Jolene Wiest Social Worker 311 Ramsey St Ste 105, Saint Paul, MN 55102-2323 2019-07-31
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1790344125 Rebecca Ann Stewart Social Worker 605 Ottawa Ave, Saint Paul, MN 55107-2551 2019-06-10
1386202091 Journeys: A Pathway /to Healing, LLC Social Worker 625 Snelling Ave N # 5, Saint Paul, MN 55104-2878 2019-05-29
1174189591 Kaitlin Voight-fitzpatrick Social Worker 438 Dorothy Day Pl, Saint Paul, MN 55102-1081 2019-05-10
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Competitor

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City SAINT PAUL
Zip Code 55104

Improve Information

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Dataset Information

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.

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