Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Iacoboni, LLMSW

Individual provider Clinical Social Worker · NPI 1124491055

Angela Iacoboni, LLMSW is a Clinical Social Worker in Jenison, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

1836 Baldwin St
Jenison, MI 49428-8901
Phone: (616) 457-0016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801092970 (MI)

Record details

NPI number1124491055
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedOctober 30, 2015
Last updated in NPPESOctober 30, 2015
Mailing address6915 Brewer Ave Ne, Rockford, MI 49341-9213

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