ANGELA LUANA ELLIS LMSW
NPI 1548976202
Social Worker in Rexburg, ID

Q: What is Angela Ellis's NPI number?

The NPI number for Angela Ellis is 1548976202. It was assigned to this individual provider in the NPPES registry on January 26, 2023. The provider is also known as Angela Luana Neumann Lmsw.

Q: What is Angela Ellis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Ellis was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2023PECOS Enrolled

450 E MAIN ST, REXBURG, ID 83440(208) 359-7689(208) 488-4265 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Angela Luana Ellis Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA LUANA ELLIS LMSW (NPI 1548976202) is an individual social worker in Rexburg, Idaho, licensed in Idaho (LMSW-41785) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1548976202

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameANGELA LUANA ELLISCredential: LMSW

Location Address450 E MAIN STRexburg, ID 83440-2048

Mailing Address450 E Main StRexburg, ID 83440-2048 · (208) 359-7689 · Fax (208) 488-4265

Phone(208) 359-7689

Fax(208) 488-4265

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 26, 2023

NPPES CertifiedJanuary 26, 2023

✔ NPI 1548976202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ID · LMSW-41785

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

450 E MAIN ST, Rexburg, ID 83440

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Other Names 1

Former Name (1)Angela Luana Neumann Lmsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Luana Ellis Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608358999

PECOS Enrollment IDI20260305001993

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADLEY SAUNDERS OTR-L

Occupational Therapist