Agape Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AGAPE CENTER LLC

Practice address

151 N Tyson Ave
Glenside, PA 19038-3104

Phone

(215) 808-5179

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine Schoen, LCSWNPI 1598353567

Title

Owner

Phone

(215) 808-5179

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Schoen, LCSW

  • Clinical Social Worker
  • Glenside, PA
  • NPI 1598353567
  NPD Authorized official
• Sarah Gentry, LCSW

  • Clinical Social Worker
  • Glenside, PA
  • NPI 1508459900
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1255900759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N TYSON AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N TYSON AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383104",
            "telephone_number": "215-808-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "SCHOEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-808-5179",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Glenside, PA
• Providers in Glenside, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.