Individual provider Active NPI

Angela C Givian, LSCSW

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1366071086
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05926 Issued in KS
Practice address
555 Poyntz Ave Ste 282
Manhattan, KS 66502-6085
Phone
(785) 301-1542
Fax
(785) 262-8393
NPI assigned
Apr 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11263 KS
Clinical Social Worker 1041C0700X 05926 KS Primary

Addresses

Primary practice location

555 Poyntz Ave Ste 282
Manhattan, KS 66502-6085

Mailing address

555 Poyntz Ave Ste 282
Manhattan, KS 66502-6085
Phone (785) 301-1542

Other names 1

  • Angela C Resta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823003923 KS Practitioner - Clinical Social Worker 4082077094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 Poyntz Ave
Suite 282
Manhattan, KS 66502-6085
Phone (785) 301-1542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11263KSMDSocial Worker
05926KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Somatic Latitude, LLC Clinical CurrentSince Sep 10, 2023 Accepting new patients

Locations

555 Poyntz Ave
Ste 282
Manhattan, KS 66502
Phone (785) 301-1542

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1366071086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 POYNTZ AVE STE 282",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026085",
            "telephone_number": "785-301-1542",
            "fax_number": "785-262-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 POYNTZ AVE STE 282",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026085",
            "telephone_number": "785-301-1542",
            "fax_number": "785-262-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVIAN",
        "first_name": "ANGELA",
        "middle_name": "C",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11263",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "RESTA",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.