Active NPI
Angela Farrar Small
- Clinical Social Worker
- Kirkland, WA
National Provider Identifier
1467861740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60159620
- Practice address
- 9757 NE Juanita Dr
Ste 214
Kirkland, WA 98034-4291 - Phone
- (425) 286-8727
- NPI assigned
- Aug 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60159620 | WA | Primary |
Addresses
Primary practice location
9757 NE Juanita Dr
Ste 214
Kirkland, WA 98034-4291
Mailing address
9757 NE Juanita Dr Ste 214
Kirkland, WA 98034-4291
Phone (425) 286-8727
Other names 1
- Angela Menette Farrar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9757 NE Juanita Dr
Suite 214
Kirkland, WA 98034-4291
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60159620 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1467861740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9757 NE JUANITA DR STE 214",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344291",
"telephone_number": "425-286-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9757 NE JUANITA DR",
"address_2": "STE 214",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344291",
"telephone_number": "425-286-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "ANGELA",
"middle_name": "FARRAR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60159620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "FARRAR",
"middle_name": "MENETTE",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.