ANGIE Y. MAIN LCSW
NPI 1699193706
Social Worker - Clinical in Stockton, CA
About Angie Y. Main Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGIE Y. MAIN LCSW (NPI 1699193706) is an individual clinical provider in Stockton, California, licensed in California (00306046) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angie Y. Main Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angie Main reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95205
- Reassigned Medicare billing, California enrollment
- 154 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STOCKTON, CA 95205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Angie Main's NPI number?
The NPI number for Angie Main is 1699193706. It was assigned to this individual provider in the NPPES registry on April 4, 2014.
Where is Angie Main located?
Angie Main practices at 1031 Waterloo Rd, Stockton, CA 95205. The listed phone number is (209) 940-5662.
What is Angie Main's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Angie Main enrolled in Medicare?
Yes. Angie Main is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angie Main's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angie Main reassigns Medicare benefits to Community Medical Centers, Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angie Main's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angie Main was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Angie Y. Main, LCSW · NPI 1699193706
Clinical provider in Stockton, California. Individual provider, active in the CMS NPPES registry since April 4, 2014.
## Identity
- **NPI:** 1699193706 (Entity type: Individual)
- **Enumerated:** April 4, 2014
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 00306046 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1031 WATERLOO RD, Stockton, CA 95205-4256
- **Phone:** (209) 940-5662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Community Medical Centers, Inc (NPI 1285059923, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1699193706) · Data from the CMS NPPES public registry.