Provider Demographics
NPI:1679704837
Name:AMIAS, ANGELA (LISW)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:AMIAS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 YEWELL ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-5759
Mailing Address - Country:US
Mailing Address - Phone:319-325-5074
Mailing Address - Fax:
Practice Address - Street 1:20 S VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1821
Practice Address - Country:US
Practice Address - Phone:319-325-5074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007275104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker