Provider Demographics
NPI:1295534774
Name:LINSENMAN, ANGELA KIM (LMSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:KIM
Last Name:LINSENMAN
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1284 AMACHER RD
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8627
Mailing Address - Country:US
Mailing Address - Phone:989-619-2261
Mailing Address - Fax:
Practice Address - Street 1:2782 S OTSEGO AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-9404
Practice Address - Country:US
Practice Address - Phone:989-732-7525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010987101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical