NPI 1124608344 · live from the CMS NPI Registry
Jacquelyn Kates Agins, LCSW, CT
Social Worker, Clinical in Philadelphia, PA. National Provider Identifier 1124608344, active.
NPI record
| NPI | 1124608344 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1910 Federal St, Philadelphia, PA 19146 |
| Practice phone | 215-593-4847 |
| Enumerated | April 12, 2021 |
| Last updated | April 12, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | CW021534 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.