Active NPI
Angelica T Bedrosian, LICSW
- Social Worker
- Seattle, WA
National Provider Identifier
1609573575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 60813640
- Practice address
- 1902 2ND Ave
Seattle, WA 98101-1155 - Phone
- (267) 901-0284
- NPI assigned
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 60813640 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | CO61619764 | WA |
Addresses
Primary practice location
1902 2ND Ave
Seattle, WA 98101-1155
Mailing address
1902 2ND Ave
Seattle, WA 98101-1155
Phone (267) 901-0284
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60813640 | WA | MD | Social Worker |
| CO61619764 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1609573575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 2ND AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011155",
"telephone_number": "267-901-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 2ND AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011155",
"telephone_number": "267-901-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDROSIAN",
"first_name": "ANGELICA",
"middle_name": "T",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "60813640",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "CO61619764",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.