NPI 1376976860 · live from the CMS NPI Registry
Corrie Frances Agnew, LCSW
Social Worker, Clinical in Salt Lake City, UT. National Provider Identifier 1376976860, active.
NPI record
| NPI | 1376976860 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1945 S 1100 E, Suite 202, Salt Lake City, UT 84106 |
| Practice phone | 801-657-0897 |
| Mailing address | 1049 S Pueblo St, Salt Lake City, UT 84104 |
| Enumerated | August 20, 2013 |
| Last updated | February 27, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 7748697-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.