Active NPI
Angela C Givian, LSCSW
- Clinical Social Worker
- Manhattan, KS
National Provider Identifier
1366071086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05926
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11263 | KS | MD | Social Worker |
| 05926 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somatic Latitude, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Manhattan, KS
- NPI 1982487229
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.