Joyclyn R Agatone, LCSW-C
Individual provider Active NPI Clinical Social Worker · Westminster, MD
NPI 1003972811 · NPPES record last updated Dec 17, 2009
Key facts
- NPI
- 1003972811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11438 (MD)
- Practice address
- 59 Kate Wagner Rd.
Westminster, MD 21157 - Phone
- (410) 848-2500
- Fax
- (410) 876-3016
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11438 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11438 | MD | Yes |
Addresses
Primary practice location
59 Kate Wagner Rd.
Westminster, MD 21157
Mailing address
59 Kate Wagner Rd.
Westminster, MD 21157
Phone (410) 848-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 615501400 | Medicaid | MD |
Other providers in Westminster, MD
- Advanced Rehab Associates, LLC
- Advanced Urology Associates, LLC
- Advanced Vascular Management, LLC
- Affiliated Sante Group
- Esther Agajelu
- Lauren Dawson Agro
- Maureen Ahn
- T Samuel Ahn
- Kimberly J Airing
- Airpark Primary Care
All providers in Westminster, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.