ANGIE DENICHOLAS – Social Worker, NPI 1265910855

ANGIE DENICHOLAS is a healthcare provider. based in Youngstown, Ohio. specializing in CLINICAL SOCIAL WORKER. The NPI Number for ANGIE DENICHOLAS is 1265910855

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ANGIE DENICHOLAS
NPI
1265910855
Phone
(330) 261-5621
Address
2653 SCHEETZ ST
Enumeration Date
6 August 2018
Last Update Date
6 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302703040
Graduation Year
2018 (8 years ago)
PAC ID
0143634030
Group Practice PAC ID
3779532262
Professional Enrollment ID
I20210204002339
Address ID
OH444069385CA3649XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for ANGIE DENICHOLAS

  • 2653, Scheetz Street, Schenley Park, West Side, Youngstown, Mahoning County, Ohio, 44509, United States

    YOUNGSTOWN, OH 445092239

    Phone: (330) 261-5621

    Type: Mailing

  • 8261, Market Street, Boardman, Mahoning County, Ohio, 44512, United States

    BOARDMAN, OH 445126254

    Phone: (330) 286-0050

    Type: Location

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: 2021-02-04

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
I20210204002339IClinical Social WorkerOHTBD

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 44509)

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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: 3779532262View full group profile
NameSpecialtyState
-OH
Mental Health CounselorOH
P S Y C H I A T R YOH
Certified Clinical Nurse Specialist (Cns)OH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Certified Clinical Nurse Specialist (Cns)OH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Is there an official ID for ANGIE DENICHOLAS in U.S. healthcare records?
The official identifier for ANGIE DENICHOLAS is NPI 1265910855.
Is there an active status for ANGIE DENICHOLAS?
For scheduling context, ANGIE DENICHOLAS is shown as active in the registry.
What expertise is attributed to ANGIE DENICHOLAS?
ANGIE DENICHOLAS's specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
Is ANGIE DENICHOLAS located near Youngstown?
ANGIE DENICHOLAS currently maps to Youngstown, Ohio in this extract.
Can I trust this NPI listing for ANGIE DENICHOLAS?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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