Healthcare Provider Details

I. General information

NPI: 1295078657
Provider Name (Legal Business Name): ANGELA ZIOGAS LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 BRIDGE ST
CONCORD NH
03301-4987
US

IV. Provider business mailing address

22 BRIDGE ST
CONCORD NH
03301-4987
US

V. Phone/Fax

Practice location:
  • Phone: 978-769-2012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120047
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2489
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: