Individual provider · Type 1 NPI

Angelique Vickie Cole

Community Health Worker · Clearlake, CA

NPI number 1811794597 Active

Practice location

3642 Blue Gum St
Clearlake, CA 95422-7939

Mailing address

16745 Big Bear Rd
Lower Lake, CA 95457-9712

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000XNone listed
Lodging Provider 177F00000XNone listed
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1811794597

Angelique Vickie Cole's National Provider Identifier is 1811794597, issued on Feb 28, 2025. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Clearlake, CA. The record was last updated on Feb 28, 2025.