1528303146 NPI number — MRS. ANGELICA LOUISANA LAMPA M.A., MSW, ASW

Table of content: MRS. ANGELICA LOUISANA LAMPA M.A., MSW, ASW (NPI 1528303146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528303146 NPI number — MRS. ANGELICA LOUISANA LAMPA M.A., MSW, ASW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMPA
Provider First Name:
ANGELICA
Provider Middle Name:
LOUISANA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., MSW, ASW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SANCHEZ
Provider Other First Name:
ANGELICA
Provider Other Middle Name:
LOUISANA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1528303146
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1930 TIENDA DRIVE
Provider Second Line Business Mailing Address:
STE 201
Provider Business Mailing Address City Name:
LODI
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-867-7675
Provider Business Mailing Address Fax Number:
209-333-9965

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1930 TIENDA DRIVE
Provider Second Line Business Practice Location Address:
STE 201
Provider Business Practice Location Address City Name:
LODI
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-867-7675
Provider Business Practice Location Address Fax Number:
209-333-9965
Provider Enumeration Date:
12/07/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  ASW90033 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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