Angela Fazio-Landrum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59957 Issued in CA

Practice address

1693 Polk St Ste 205
San Francisco, CA 94109-3614

Phone

(707) 739-6336

NPI assigned

Oct 12, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1033580402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40605",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941400605",
            "telephone_number": "707-739-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 POLK ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093614",
            "telephone_number": "707-739-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO-LANDRUM",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "59957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Fay, MD
• Liliana Fay, MFTI
• Raymond Fay, MD
• William Warner Fay, DDS
• Negin Fazilat, NP
• Sal Fazio, MD
• Michael James Feasby
• Kelia Febo
• Kenneth B. Fechtner, M.D.
• Jeanette Feddes

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.