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

Angela Marie Fowler, LLMSW

Individual provider Clinical Social Worker · NPI 1790953552

Angela Marie Fowler, LLMSW is a Clinical Social Worker in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

5031 Park Lake Rd Medidian Professional Psychological Consultants
East Lansing, MI 48823
Phone: (517) 332-0811
Fax: (517) 332-4452
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 6801089159 (MI)

Record details

NPI number1790953552
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedFebruary 14, 2008
Last updated in NPPESFebruary 14, 2008

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