ANGELICA GRACE FORTENBERRY MSW, LCSW
NPI 1629734322
Social Worker - Clinical in Independence, MO

Q: What is Angelica Fortenberry's NPI number?

The NPI number for Angelica Fortenberry is 1629734322. It was assigned to this individual provider in the NPPES registry on November 17, 2021. The provider is also known as Angelica Grace Fillingane.

Q: What is Angelica Fortenberry's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since November 17, 2021PECOS Enrolled

17844 E 23RD ST S, INDEPENDENCE, MO 64057(816) 254-3652 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2026, Nov 17, 2021 (2 updates tracked since 2021).

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About Angelica Grace Fortenberry Msw, Lcsw NPPES

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

ANGELICA GRACE FORTENBERRY MSW, LCSW (NPI 1629734322) is an individual clinical provider in Independence, Missouri, licensed in Missouri (2024000988) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629734322

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANGELICA GRACE FORTENBERRYCredential: MSW, LCSW

Location Address17844 E 23RD ST SIndependence, MO 64057-1840

Mailing AddressPo Box 260Independence, MO 64051-0260 · (816) 254-3652

Phone(816) 254-3652

Sole ProprietorNo

Enumeration DateNovember 17, 2021

Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1629734322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2024000988

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

17844 E 23RD ST S, Independence, MO 64057

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Other Names 1

Former Name (1)Angelica Grace Fillingane

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelica Grace Fortenberry Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.29 – $168.52

Typical copayment $0.00 (range $13.82 – $42.13)

Most-billed visit code NA

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HEATHER M HAYES MSW, LCSW

Social Worker (Clinical)