Provider Demographics
NPI:1275817959
Name:ANGELAKI, NIKI (MSW)
Entity Type:Individual
Prefix:MS
First Name:NIKI
Middle Name:
Last Name:ANGELAKI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 JOHN ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47713-2705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 JOHN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47713-2705
Practice Address - Country:US
Practice Address - Phone:812-401-3415
Practice Address - Fax:812-401-3413
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical