Active NPI
Angela Gianopoulos
- Social Worker
- Tukwila, WA
National Provider Identifier
1275353773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150104128
- Practice address
- 2811 S 102ND St Ste 220
Tukwila, WA 98168-1869 - Phone
- (425) 525-6800
- NPI assigned
- Oct 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150104128 | IL | Primary |
Addresses
Primary practice location
2811 S 102ND St Ste 220
Tukwila, WA 98168-1869
Mailing address
1926 Crestview Dr
Plainfield, IL 60586-4123
Phone (815) 409-8727
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 |
|---|---|---|---|
| 150104128 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1275353773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 CRESTVIEW DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605864123",
"telephone_number": "815-409-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 S 102ND ST STE 220",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981681869",
"telephone_number": "425-525-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANOPOULOS",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150104128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.