Individual provider Active NPI

Angela Smith, MSW, LICSWA

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1184230658
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61325590 Issued in WA
Practice address
707 W 7TH Ave Ste 170B
Spokane, WA 99204-2832
Phone
(509) 818-0340
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61325590 WA Primary
Counselor 101Y00000X CG60723207 WA

Addresses

Primary practice location

707 W 7TH Ave Ste 170B
Spokane, WA 99204-2832

Mailing address

707 W 7TH Ave Ste 170B
Spokane, WA 99204-2832
Phone (509) 818-0340

Other practice location 1

6228 E Old School Rd
Wellpinit, WA 99040
Phone (509) 258-7502

Other names 1

  • Angela Bowling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG60723207WAMDCounselor
SC61325590WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1184230658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 170B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042832",
            "telephone_number": "509-818-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 170B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042832",
            "telephone_number": "509-818-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6228 E Old School Rd",
            "address_purpose": "LOCATION",
            "city": "Wellpinit",
            "state": "WA",
            "postal_code": "99040",
            "country_code": "US",
            "telephone_number": "509-258-7502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "credential": "MSW, LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61325590",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60723207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BOWLING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.