ANGELA EDWARD (LMSW-C) – Clinical Social Worker, NPI 1417567215

ANGELA EDWARD (LMSW-C) is a healthcare provider. based in Jackson, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW-C. They hold a License No. 6801106655 (MI). The NPI Number for ANGELA EDWARD (LMSW-C) is 1417567215

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA EDWARD (LMSW-C)
NPI
1417567215
Phone
(517) 748-1553
Address
412 HEYSER ST.
Enumeration Date
6 August 2020
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7343696163
Graduation Year
2011 (15 years ago)
PAC ID
1759868987
Group Practice PAC ID
5597120204
Professional Enrollment ID
I20260120001341
Address ID
MI481034504AN1880XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for ANGELA EDWARD (LMSW-C)

  • 412 HEYSER ST.

    JACKSON, MI 492033562

    Phone: (517) 748-1553

    Type: Mailing

  • 413 SEYMOUR AVE

    JACKSON, MI 492023562

    Phone: (517) 748-1553

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260120001341IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597120204View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Does ANGELA EDWARD (LMSW-C) have a public NPI I can cite?
Public records show ANGELA EDWARD (LMSW-C) under NPI 1417567215.
Should I treat ANGELA EDWARD (LMSW-C) as an active provider?
Patients and plans typically see ANGELA EDWARD (LMSW-C) as active in the national extract.
What services align with ANGELA EDWARD (LMSW-C)'s listing?
ANGELA EDWARD (LMSW-C)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is ANGELA EDWARD (LMSW-C) tied to Jackson, Michigan?
If you are local to Jackson, Michigan, ANGELA EDWARD (LMSW-C) may be relevant to your search.
Why is information missing for ANGELA EDWARD (LMSW-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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