Angela Marie Fanjul, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5586510-3502 Issued in UT

Practice address

860 E 4500 S Ste 204
Salt Lake City, UT 84107-3014

Phone

(801) 261-3440

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699870220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SENATE CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841042458",
            "telephone_number": "801-971-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E 4500 S STE 204",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073014",
            "telephone_number": "801-261-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANJUL",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5586510-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin John Fanciullo, M.D.
• Luis B. Fandino, MD
• James C Fang
• John C Fang, MD
• Taniela Ma'U Fangupo
• Michael Fank Jr., NP
• Nathan Richard Fankhauser, PT
• Hanna K. Fanous, MD
• David M Fantle, MD
• Alecia Farabee

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.