Active NPI
Angela Leah Phillips, MSW, LSWAIC
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1194060178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC60429378
- Practice address
- 10740 Meridian Ave N
Suite 205
Seattle, WA 98133-9010 - Phone
- (206) 535-6292
- Fax
- (206) 356-1151
- NPI assigned
- Dec 3, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW117517 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | SC60429378 | WA | Primary |
Addresses
Primary practice location
10740 Meridian Ave N
Suite 205
Seattle, WA 98133-9010
Mailing address
10740 Meridian Ave N
Suite 205
Seattle, WA 98133-9010
Phone (206) 535-6292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC60429378 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| LCSW117517 | Other | CA | CA STATE |
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 |
|---|---|---|---|
| LCSW117517 | CA | MD | Clinical Social Worker |
| SC60429378 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1194060178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 MERIDIAN AVE N",
"address_2": "SUITE 205",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339010",
"telephone_number": "206-535-6292",
"fax_number": "206-356-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10740 MERIDIAN AVE N",
"address_2": "SUITE 205",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339010",
"telephone_number": "206-535-6292",
"fax_number": "206-356-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ANGELA",
"middle_name": "LEAH",
"credential": "MSW, LSWAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW117517",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60429378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "SC60429378",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE",
"identifier": "LCSW117517",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.