Provider Demographics
NPI:1396321238
Name:VANSCHOICK, ANGELA S (LCSW, LMSW)
Entity type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:S
Last Name:VANSCHOICK
Suffix:
Gender:F
Credentials:LCSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5585
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-5585
Mailing Address - Country:US
Mailing Address - Phone:720-295-4030
Mailing Address - Fax:
Practice Address - Street 1:110 BADGER CT
Practice Address - Street 2:
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498-9202
Practice Address - Country:US
Practice Address - Phone:720-295-4030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801089959101YM0800X, 101YP2500X
COCSW.09923919101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty