Fenske, Angela Jean

Fenske, Angela Jean is an sole proprietor health care provider with primary practice located at 1530 S Main St , Joplin MO 64804-0750. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fenske, Angela Jean can be contacted via phone (417) 437-4329.

Contact Information

Primary practice address
1530 S Main St Joplin MO 64804-0750
Phone: (417) 437-4329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2009008980 Missouri

Profile Details

NPI number 1326270257
LBN Legal business name Fenske, Angela Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2009
Last updated Jan 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326270257 NPPES
Missouri MEDICAID 1326270257

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