| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGELA MARIE KIRKER | 1023556149 | 2024-04-07 |
Angela Marie Kirker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023556149. Registration indicates Angela Marie Kirker is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Angela Marie Kirker LISW-S, LICDC-CS |
| Practice Office Address | 1136 ORCHARD ST COSHOCTON, OH US |
| Practice Office Telephone | 7402029754 |
| Practice Office Fax | 7408702541 |
| Mailing Address | 1136 ORCHARD ST COSHOCTON, OH 438121743 US |
| Business Telephone | 7402029754 |
| Business Fax | 7408702541 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 550 Main St | Coshocton, OH 438121612 | 7402913737 / 8338053653 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | I.1700556-SUPV
OH |
| 101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | LICDC.161586
OH |