Linda C Agajanian Hill, LCSW-R

Individual provider Active NPI Clinical Social Worker · Poughkeepsie, NY

NPI 1104942556 · NPPES record last updated Apr 28, 2009

Key facts

NPI
1104942556
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R049608 (NY)
Practice address
21 Fairmont Ave
Poughkeepsie, NY 12603-2409
Phone
(845) 452-3676
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R049608NYMDClinical Social Worker
049608NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R049608 NY Yes

Addresses

Primary practice location

21 Fairmont Ave
Poughkeepsie, NY 12603-2409

Mailing address

25 Walnut Hill Rd
Poughkeepsie, NY 12603-4720
Phone (845) 473-8514

Other providers in Poughkeepsie, NY

All providers in Poughkeepsie, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.