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

Angela Iacoboni, LLMSW

Individual provider Clinical Social Worker · NPI 1124491055

Angela Iacoboni, LLMSW is a Clinical Social Worker in Jenison, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

1836 Baldwin St
Jenison, MI 49428-8901
Phone: (616) 457-0016
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 6801092970 (MI)

Record details

NPI number1124491055
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedOctober 30, 2015
Last updated in NPPESOctober 30, 2015

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