Provider Demographics
NPI:1669574257
Name:KAPPNER, ANGELA MEILING (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MEILING
Last Name:KAPPNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2553 PALOS VERDES DR W
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-2710
Mailing Address - Country:US
Mailing Address - Phone:310-544-7016
Mailing Address - Fax:
Practice Address - Street 1:423 S PACIFIC COAST HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3700
Practice Address - Country:US
Practice Address - Phone:310-792-1823
Practice Address - Fax:310-540-8904
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS78741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical