Active NPI
Angie NG, LCSW
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1891320933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 225572
- Practice address
- 637 Washington St
Boston, MA 02124-3510 - Phone
- (617) 822-8777
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 225572 | MA | Primary |
Addresses
Primary practice location
637 Washington St
Boston, MA 02124-3510
Mailing address
417 Cardinal Medeiros Ave Unit 5
Cambridge, MA 02141-1467
Phone (972) 510-3100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | OCHIN | Codman Square Health Center Inc |
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
Interoperability endpoints
- ang181722@direct.bmc.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1891320933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 CARDINAL MEDEIROS AVE UNIT 5",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021411467",
"telephone_number": "972-510-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021243510",
"telephone_number": "617-822-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "ANGIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2023-11-27",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "225572",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "OCHIN",
"affiliation": "Y",
"endpointDescription": "OCHIN EPIC",
"affiliationName": "Codman Square Health Center Inc",
"address_1": "637 Washington St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021243510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.