Individual provider Active NPI

Angela J Upton, LISW

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1861573180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1-0004906 Issued in OH
Practice address
4030 Mount Carmel Tobasco Rd
Cincinnati, OH 45255-3400
Phone
(513) 528-9200
Fax
(513) 870-0818
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1-0004906 OH Primary

Addresses

Primary practice location

4030 Mount Carmel Tobasco Rd
Cincinnati, OH 45255-3400

Mailing address

5642 Hamilton Ave
ML 6015
Cincinnati, OH 45224-3114
Phone (513) 636-0847

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-0004906OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
George S Broderick D.O. Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861573180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 HAMILTON AVE",
            "address_2": "ML 6015",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452243114",
            "telephone_number": "513-636-0847",
            "fax_number": "513-636-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOUNT CARMEL TOBASCO RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553400",
            "telephone_number": "513-528-9200",
            "fax_number": "513-870-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1-0004906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • 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.