Individual ProviderAngela DanielSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4633 Aicholtz Rd Lowr Level, Cincinnati, OH 45244(513) 752-1555PECOS EnrollmentBased on the most recent information from CMS, provider Angela Daniel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1720586035Provider TypeIndividualFull NameDaniel, AngelaGenderFemaleSole ProprietorYesEnumeration Date2/1/2018Last Updated3/18/2021Contact InformationPractice LocationPractice Address4633 Aicholtz Rd Lowr Level, Cincinnati, OH 45244Phone(513) 752-1555FaxUnlisted FaxMailing LocationMailing Address4629 Aicholtz Rd, Cincinnati, OH 45244-1551Phone(513) 752-1555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.1801978OhioCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseS.17000065OhioProvider IdentifiersIDDescriptionIssuerID00000DescriptionOtherIssuerLICENSURE BOARDOhio