Provider Demographics
NPI:1548545528
Name:ALBERS, ANGELA F (LMSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:F
Last Name:ALBERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S GREENFIELD RD
Mailing Address - Street 2:UNIT 30
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1200
Mailing Address - Country:US
Mailing Address - Phone:480-229-2859
Mailing Address - Fax:
Practice Address - Street 1:4111 E VALLEY AUTO DR
Practice Address - Street 2:SUITE 201
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4605
Practice Address - Country:US
Practice Address - Phone:480-688-4546
Practice Address - Fax:480-813-2987
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-11748104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker