Active NPI
Angela Sippio, LCSW
- Clinical Social Worker
- Loma Linda, CA
National Provider Identifier
1548864895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW97699
- Practice address
- 25333 Barton Rd RM 107
Loma Linda, CA 92350-0210 - Phone
- (909) 558-4000
- NPI assigned
- Nov 27, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | LCSW97699 | CA | Primary |
Addresses
Primary practice location
25333 Barton Rd RM 107
Loma Linda, CA 92350-0210
Mailing address
25333 Barton Rd RM 107
Loma Linda, CA 92350-0210
Phone (909) 558-4000
Other practice location 1
1042 Apple Blossom Ln
Corona, CA 92881-8369
Phone (562) 418-3186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | CA | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | asippio@llu.edu | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW97699 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1548864895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25333 BARTON RD RM 107",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923500210",
"telephone_number": "909-558-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25333 BARTON RD RM 107",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923500210",
"telephone_number": "909-558-4000"
}
],
"practiceLocations": [
{
"address_1": "1042 Apple Blossom Ln",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928818369",
"country_code": "US",
"telephone_number": "562-418-3186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIPPIO",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-27",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW97699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "NA",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "asippio@llu.edu",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1042 Apple Blossom Ln",
"city": "Corona",
"state": "CA",
"country_code": "US",
"postal_code": "928818369",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.