Angela Ruthanne Kozak-Embrey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW81408 Issued in CA

Practice address

4540 Florin Rd Ste E350
Sacramento, CA 95823-2536

Phone

(916) 467-4201

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

No

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1780934109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 FLORIN RD STE E350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232536",
            "telephone_number": "916-467-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 FLORIN RD STE E350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232536",
            "telephone_number": "916-467-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK-EMBREY",
        "first_name": "ANGELA",
        "middle_name": "RUTHANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW81408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Kowalske, R.D.
• Smarika Kowalski
• Julie Marie Kowing, MC
• Simon Koytiger, DPT
• Garrett Koza
• Melissa Kozak, M.A., BCBA
• Robert Kozel, MD
• Joseph A Kozina, MD
• Dariya Kozlova
• Barbara Kozminski, MD

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.