Angela Bommarito Lisw LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0700030 SUPV Issued in OH

Legal business name

ANGELA BOMMARITO LISW LLC

Practice address

167 S State St Ste 120
Westerville, OH 43081-2278

Phone

(614) 270-0910

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Rose Bommarito, MSW LISW-SNPI 1497880900

Title

Psychotherapist

Phone

(614) 270-0910

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela R Bommarito, MSW, LISW

  • Clinical Social Worker
  • Westerville, OH
  • NPI 1497880900
  NPD (past) Authorized official

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1659695401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010902",
            "telephone_number": "614-270-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S STATE ST STE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812278",
            "telephone_number": "614-270-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA BOMMARITO LISW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "BOMMARITO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "614-270-0910",
        "authorized_official_credential": "MSW LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0700030 SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL TYPE 1 NPI",
            "identifier": "1497880900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Westerville, OH
• Providers in Westerville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.