Active NPI
Angela Lynn Pearson, LSWAIC, LAAC, SUDP,
- Social Worker
- Lynnwood, WA
National Provider Identifier
1679018113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWIA.SC61681558
- Practice address
- 21107 Elberta Rd # 2
Lynnwood, WA 98036-8658 - Phone
- (206) 678-6434
- NPI assigned
- Dec 19, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CAAL.CU.70011565 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60344301 | WA | |
| Social Worker | 104100000X | SWIA.SC61681558 | WA | Primary |
Addresses
Primary practice location
21107 Elberta Rd # 2
Lynnwood, WA 98036-8658
Mailing address
21107 Elberta Rd # 2
Lynnwood, WA 98036-8658
Phone (206) 678-6434
Other names 1
- Miss Angela L. Pearson
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 |
|---|---|---|---|
| CP60344301 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| CAAL.CU.70011565 | WA | MD | Mental Health Counselor |
| SWIA.SC61681558 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763251200000",
"number": "1679018113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21107 ELBERTA RD # 2",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980368658",
"telephone_number": "206-678-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21107 ELBERTA RD # 2",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980368658",
"telephone_number": "206-678-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "ANGELA",
"middle_name": "LYNN",
"credential": "LSWAIC, LAAC, SUDP,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-19",
"last_updated": "2025-11-16",
"certification_date": "2025-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CAAL.CU.70011565",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60344301",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SWIA.SC61681558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "PEARSON",
"middle_name": "L.",
"prefix": "MISS",
"credential": "MSW, LSWAIC, SUDP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.