Olivia Agostinello, LMSW
Individual provider Active NPI Social Worker · Corona, NY
NPI 1235878968 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1235878968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 9825 Horace Harding Expy
Corona, NY 11368-4627 - Phone
- (718) 962-0888
- NPI assigned
- Jun 1, 2022
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NY | Yes |
Addresses
Primary practice location
9825 Horace Harding Expy
Corona, NY 11368-4627
Mailing address
8240 Austin St
Kew Gardens, NY 11415-1400
Phone (516) 456-5394
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. 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.