NPI 1487985990 · live from the CMS NPI Registry
Michelle Agostini, MSW, LSW
Social Worker, Clinical in Philadelphia, PA. National Provider Identifier 1487985990, active.
NPI record
| NPI | 1487985990 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 21 S 12th St, Philadelphia, PA 19107 |
| Practice phone | 215-732-2437 |
| Mailing address | 813 S 49th St, 1r, Philadelphia, PA 19143 |
| Enumerated | January 22, 2010 |
| Last updated | January 22, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | SW127610 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.