NPI 1275686701 · live from the CMS NPI Registry
Theresa Agostinelli
Social Worker, Clinical in Media, PA. National Provider Identifier 1275686701, active.
NPI record
| NPI | 1275686701 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 210 W Front St, Media, PA 19063 |
| Practice phone | 610-656-1424 |
| Enumerated | January 19, 2007 |
| Last updated | March 30, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | cw017215 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.