Kathleen Marie Angco-Vieweg
Individual provider Active NPI Social Worker · Southwick, MA
NPI 1619466554 · NPPES record last updated Jun 5, 2018
Key facts
- NPI
- 1619466554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2029456 (MA)
- Practice address
- 24 Laro Rd
Southwick, MA 01077 - Phone
- (413) 237-5589
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2029456 | MA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2029456 | MA | Yes |
Addresses
Primary practice location
24 Laro Rd
Southwick, MA 01077
Mailing address
24 Laro Rd
Southwick, MA 01077-9526
Phone (413) 237-5589
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- Jerome Morris Azia
- Tanya Lee Bailey
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- Cara Rose Balboni
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All providers in Southwick, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.