NPI 1831773084 · live from the CMS NPI Registry
Maribel Agosto, LCSW
Social Worker, Clinical in Stratford, CT. National Provider Identifier 1831773084, active.
NPI record
| NPI | 1831773084 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1130 Cutspring Rd, Stratford, CT 06614 |
| Practice phone | 203-914-3004 |
| Mailing address | 1635 Central Ave, Bridgeport, CT 06610 |
| Enumerated | May 12, 2021 |
| Last updated | May 12, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 11190 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.