Angie E Angeles is a Clinical in Antioch, California. Angie E Angeles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Angie E Angeles is 1366647133. The last update date is 2022-01-08.
Angie E Angeles's current location address is 3400 Delta Fair Blvd, Antioch, California. You can contact this provider via phone number 9257794328. The mailing address for Angie E Angeles is 3400 Delta Fair Blvd, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angie E Angeles |
|---|---|
| Address | 3400 Delta Fair Blvd, Antioch, California |
| Phone Number | 9257794328 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1366647133 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2022-01-08 |
Provider Mailing Address Detail
| Address | 3400 Delta Fair Blvd |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945094004 |
| Phone Number | 9257794328 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW64030 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7771 | CA | EPSDT PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Angie E Angeles by the Centers for Medicare & Medicaid Services (CMS)?
The Angie E Angeles has been assigned the NPI (National Provider Identifier) 1366647133. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Angie E Angeles?
The Angie E Angeles is situated at 3400 Delta Fair Blvd, in the city of Antioch, state of CA, with the zip code 945094004.
What is Angie E Angeles's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Angie E Angeles is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1366647133 assigned to Angie E Angeles?
The Angie E Angeles was issued its 1366647133 on 2007-06-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Angie E Angeles, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Angie E Angeles, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-08.