Corrie Frances Agnew, LCSW
Individual provider Active NPI Clinical Social Worker · Salt Lake City, UT
NPI 1376976860 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1376976860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7748697-3501 (UT)
- Practice address
- 1945 S 1100 E
Suite 202
Salt Lake City, UT 84106-2369 - Phone
- (801) 657-0897
- NPI assigned
- Aug 20, 2013
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7748697-3501 | UT | Yes |
Addresses
Primary practice location
1945 S 1100 E
Suite 202
Salt Lake City, UT 84106-2369
Mailing address
1049 S Pueblo St
Salt Lake City, UT 84104-3232
Phone (801) 388-8574
Other practice location 1
123 E Main St
Sandy, UT 84070-1509
Phone (801) 388-8574
Other providers in Salt Lake City, UT
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- Neeraj Agarwal
- Tejita Agarwal
- Mary Kathleen K. Agarwala
- Tara Rose Agee
- Christian David Friedrich Agricola
- Cristina Aguayo Romero
- Amanda Nichole Lomeli Aguda
- Agueda Hubbard LLC
- Elvia Aguiar
All providers in Salt Lake City, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. 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.