Individual provider Active NPI

Angela Lynn Pearson, LSWAIC, LAAC, SUDP,

  • Social Worker
  • Lynnwood, WA
National Provider Identifier
1679018113
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWIA.SC61681558 Issued in WA
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

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
CP60344301WAMDAddiction (Substance Use Disorder) Counselor
CAAL.CU.70011565WAMDMental Health Counselor
SWIA.SC61681558WAMDSocial 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.

Verify at the official NPI Registry.