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ANGIE Y. MAIN LCSW
NPI 1699193706
Social Worker - Clinical in Stockton, CA

Active since April 04, 2014PECOS Enrolled
1031 WATERLOO RD, STOCKTON, CA 95205(209) 940-5662 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1699193706
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANGIE Y. MAINCredential: LCSW
Location Address1031 WATERLOO RDStockton, CA 95205-4256
Mailing Address1031 Waterloo RdStockton, CA 95205-4256 · (209) 940-5662
Phone(209) 940-5662
Sole ProprietorYes
Enumeration DateApril 4, 2014
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1699193706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 00306046
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 00306046 (CA)
1031 WATERLOO RD, Stockton, CA 95205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angie Y. Main 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 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.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

DUC HUU NGUYEN
Dental Hygienist
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 636-5555
TINA DENELLE ROBINSON
Community Health Worker
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5662
ADRIANA VANESSA NUNEZ LOPEZ NP
Nurse Practitioner (Pediatrics)
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
SUKHREET KAUR GHUMAN MD
Family Medicine
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
HAILU SOLOMON MEHANZEL DMD
Dentist (General Practice)
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
COMMUNITY MEDICAL CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
SADICHCHHA PARAJULI
Family Medicine
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
KALEA ROBINSON
Case Manager/Care Coordinator
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 623-6115

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.

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.