Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275003873 Individual Practitioner Female Practitioner

Angela Clark , MSW, LICSWA, MCA, SUDP

Social Worker • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Angela Clark, MSW, LICSWA, MCA, SUDP is a registered healthcare professional specializing in Social Worker in Spokane, WA. Practice services are available at 317 N. PINES under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

317 N. Pines

Spokane, WA 99206

Telephone 5098384651
Fax 5093265025
Associated Practice Facility / Clinic
🏢 Frontier Behavioral Health Facility NPI 1861495327

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.2 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
187 Specialists

Practicing in Spokane, WA (2183 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-17
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License WA SC60656780

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CP60656762

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WA MC61249881

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jamie Wagley , BSN, RN

Registered Nurse

NPI 1003283896

Bachelor of Science in Nursing, Registered Nurse

NPI 1003288796

Master of Social Work

Laura Long

Counselor - Addiction (Substance Use Disorder)

NPI 1003383498
NPI 1003385568

AA, Registered Nurse

NPI 1003386236

Bachelor of Arts

Cheryl Brown

Peer Specialist

NPI 1003423138

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 17, 2022

Registered at 317 N. PINES, SPOKANE, WA 99206 (Tel: 5098384651)

📍
Updated Business Mailing Address January 17, 2022

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

👤
Provider Name / Credentials Updated January 17, 2022

Recorded as ANGELA CLARK, MSW,LICSWA, MCA,SUDP

NPI Profile Active November 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2018

Registered at 44 E COZZA DR, SPOKANE, WA 992086514 (Tel: 5093256800)

📍
Updated Business Mailing Address November 27, 2018

Registered at 44 E COZZA DR, SPOKANE, WA 992086514 (Tel: 5093256800)

👤
Provider Name / Credentials Updated November 27, 2018

Recorded as ANGELA SMITH, MSW,LSWAIC, MHP, CDP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2018

Counselor (License #CP60656762 in WA)

🟢
Initial NPI Registration & Enumeration November 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275003873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2018
Last Update: January 17, 2022
Sole Proprietor: No

Mailing Address

107 S Division St

Spokane, WA 992021510

Phone: 5098384651

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.