NPI 1932582616 · live from the CMS NPI Registry
Jenna Agbaje, LICSW
Social Worker, Clinical in Omaha, NE. National Provider Identifier 1932582616, active.
NPI record
| NPI | 1932582616 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3157 Farnam St, Suite 7104 #7278, Omaha, NE 68131 |
| Practice phone | 531-222-7861 |
| Enumerated | June 30, 2015 |
| Last updated | March 7, 2022 |
| Sole proprietor | No |
| Other names | Jenna Rodis |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 1387, 1574, 4542 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.