NPI 1356485643 · live from the CMS NPI Registry
Paul James Agacinski Vazquez, MSW
Social Worker, Clinical in Hartford, CT. National Provider Identifier 1356485643, active.
NPI record
| NPI | 1356485643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 80 Jefferson St, Hartford, CT 06106 |
| Practice phone | 860-527-1124 |
| Mailing address | 31 Dwight St Fl 2, New Britain, CT 06051 |
| Enumerated | February 19, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.