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

Angela Jo Douglass, LLMSW

Individual provider Clinical Social Worker · NPI 1871444604

Angela Jo Douglass, LLMSW is a Clinical Social Worker in Jenison, Michigan. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1354 Baldwin St
Jenison, MI 49428-8937
Phone: (313) 530-8055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851120816

Record details

NPI number1871444604
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedFebruary 6, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

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