NPI 1679154694 · live from the CMS NPI Registry
Pauline Jo Rago Adia
Social Worker in Laurel, MD. National Provider Identifier 1679154694, active.
NPI record
| NPI | 1679154694 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 8101 Sandy Spring Rd Ste 250, Laurel, MD 20707 |
| Practice phone | 800-994-5403 |
| Enumerated | April 20, 2021 |
| Last updated | April 20, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 26745 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.