Tamara de Angelis Licensed Clinical Social Worker, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TAMARA DE ANGELIS LICENSED CLINICAL SOCIAL WORKER, INC.

Practice address

2272 Colorado Blvd Ste 1164
Los Angeles, CA 90041-1143

Phone

(323) 925-5279

NPI assigned

Aug 24, 2021

Organization subpart

Yes

Parent organization

CHRYSALIS CLINICAL SOCIAL WORKAs reported in NPPES

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

Authorized official

Name

Tamara Deangelis, LCSW

Title

Owner

Phone

(609) 338-2244

Specialties & licenses 1

Addresses

Part of

Tamara de Angelis Licensed Clinical Social Worker Inc

Locations

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1164199618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 COLORADO BLVD STE 1164",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411143",
            "telephone_number": "323-925-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 COLORADO BLVD STE 1164",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411143",
            "telephone_number": "323-925-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA DE ANGELIS LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRYSALIS CLINICAL SOCIAL WORK",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-338-2244",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Tamaddon, MD
• Emily Taraneh Tamadonfar, MD
• Cindy Tamae, NP
• Donn Kenji Tamaki
• Robert Ben Tamaki, D.D.S.
• Mark Wilfred Tamarin, M.D.
• Michele Lynne Tamarkin, MFT
• Andrea Tamas, LVN
• Chad Tamashiro
• Jessica Jo-Kwan Tamashiro, M.S. CCC-SLP

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 24, 2021; 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.