Angela Ristow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23265 Issued in CA

Practice address

901 Moraga Rd
Lafayette, CA 94549-4596

Phone

(415) 322-0965

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 2, 2025 through Aug 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1558075887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 YORKSHIRE CT",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494596",
            "telephone_number": "415-322-0965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Yorkshire Ct",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945494623",
            "country_code": "US",
            "telephone_number": "415-322-0965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISTOW",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Rice
• Richard W. Baker, O.D.
• Jordan Chay Richert, DMD
• Shawn Rigdon, DPT
• Reyna Selena Rios
• Daniel Robbins, MD
• Cavett M. Robert Jr., M.D., F.A.C.S.
• Robin Alexander. Lafayette Chiropractic Group
• Mariah Rochelle Rodgers
• Carol Rogers

• Clinical Social Worker in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.