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

Angie Y. Main, LCSW

Individual provider Mental Health Counselor · NPI 1699193706

Angie Y. Main, LCSW is a Mental Health Counselor in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1031 Waterloo Rd
Stockton, CA 95205-4256
Phone: (209) 940-5662
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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 00306046 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 00306046 (CA)

Record details

NPI number1699193706
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 4, 2014
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

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