Paul James Agacinski Vazquez, MSW
Individual provider Active NPI Clinical Social Worker · Hartford, CT
NPI 1356485643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356485643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 80 Jefferson St
Hartford, CT 06106-5035 - Phone
- (860) 527-1124
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
80 Jefferson St
Hartford, CT 06106-5035
Mailing address
31 Dwight St FL 2
New Britain, CT 06051-2314
Phone (860) 680-9497
Other providers in Hartford, CT
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- Aetna Health Inc. (CT)
- Aetna Inc., Wellness Works Center
- Affirming Pathways Counseling, LLC
- Affordable Connecticut Care LLC
- Mimansha Agarwal
- Taylor Aglio
- Rebekka E Agnello
- Jelan Agnew
- Samary Agosto
All providers in Hartford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.