NPI 1740016583 · live from the CMS NPI Registry
Whitney O Agyeman
Social Worker, Clinical in Bristol, CT. National Provider Identifier 1740016583, active.
NPI record
| NPI | 1740016583 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 43 Prospect St, Bristol, CT 06010 |
| Practice phone | 860-584-2105 |
| Enumerated | September 9, 2024 |
| Last updated | September 9, 2024 |
| 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.