Lindsay E Agne, LICSW

Individual provider Active NPI Clinical Social Worker · Needham, MA

NPI 1306151972 · NPPES record last updated Aug 8, 2010

Key facts

NPI
1306151972
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
212503 (MA)
Practice address
21 Warren St
Needham, MA 02492-3113
Phone
(617) 755-6049
NPI assigned
Aug 8, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
212503MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Senior Options LLC Past
since Jun 12, 2011
Accepting new patients
North Shore Clinicians Group LLC Past
since Mar 23, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 212503 MA Yes

Addresses

Primary practice location

21 Warren St
Needham, MA 02492-3113

Mailing address

21 Warren St
Needham, MA 02492-3113
Phone (617) 755-6049

Other providers in Needham, MA

All providers in Needham, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.