Mabel R Aghimien, MSW
Individual provider Active NPI Social Worker · South Bend, IN
NPI 1346370970 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1346370970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 403 E Madison St
South Bend, IN 46617-2322 - Phone
- (574) 533-1234
- Fax
- (574) 537-2652
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oaklawn Psychiatric Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
403 E Madison St
South Bend, IN 46617-2322
Mailing address
PO Box 809
Goshen, IN 46527-0809
Phone (574) 533-1234
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. 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.