Active NPI
Angela Smith, MSW, LICSWA
- Clinical Social Worker
- Spokane, WA
National Provider Identifier
1184230658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61325590
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CG60723207 | WA | MD | Counselor |
| SC61325590 | WA | MD | Clinical 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.