Provider Demographics
NPI:1780060053
Name:BROWNEMILLER, ANGELA (PHD, DSW, MSW, MPH)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:BROWNEMILLER
Suffix:
Gender:F
Credentials:PHD, DSW, MSW, MPH
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:BROWNE-MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, DSW, MPH, MSW
Mailing Address - Street 1:PO BOX 2505
Mailing Address - Street 2:
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94927-2505
Mailing Address - Country:US
Mailing Address - Phone:415-377-5327
Mailing Address - Fax:
Practice Address - Street 1:775 BAYWOOD DR STE 111A
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-5500
Practice Address - Country:US
Practice Address - Phone:415-377-5327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS115201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical