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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255508859

Angela S Niffenegger, LICSWLACLADC is a Clinical Social Worker in Grand Forks, North Dakota. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
20
Licensed in
MN, ND
In the registry since
2008
Specialties on file
4
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Practice location Address checks out

1407 24th Ave S
Grand Forks, ND 58201-6761
Phone: (701) 213-0831
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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 4456 (ND)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 302260 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1725 (ND)
Clinical Social Worker Taxonomy 1041C0700X · Licence 18337 (MN)

Record details

NPI number1255508859
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSWLACLADC
Sole proprietorNo
NPI enumeratedMay 13, 2008
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Forks