Katie Angelelli, LSW

Individual provider Active NPI Social Worker · Williamsport, PA

NPI 1831870732 · NPPES record last updated Jul 25, 2023

Key facts

NPI
1831870732
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SW140520 (PA)
Practice address
705 Washington Blvd Ste 100
Williamsport, PA 17701-5355
Phone
(570) 321-6390
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW140520PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gillum Psychological & Counseling Services Social Worker Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW140520 PA Yes

Addresses

Primary practice location

705 Washington Blvd Ste 100
Williamsport, PA 17701-5355

Mailing address

18 Carnation LN
Mill Hall, PA 17751-9034
Phone (607) 425-4481

Other providers in Williamsport, PA

All providers in Williamsport, PA · Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.