Nichole C Inya-Agha, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05742600 Issued in NJ

Practice address

76 Summer St
Edison, NJ 08820-2436

Phone

(856) 431-3780

NPI assigned

Mar 21, 2019

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Inner Promise Counseling, LLC

  • Clinical Social Worker
  • Highland Park, NJ
  • NPI 1518804798
  NPD Authorized official

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1437619996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202436",
            "telephone_number": "856-431-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INYA-AGHA",
        "first_name": "NICHOLE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05742600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine and Kidney Care, LLC
• Internal Medicine Associates of Central Jersey
• Interventional Pain and Spine Institute Inc
• Interventional Pain Management and Ortho-Spine Center LLC
• Interventional Pain Management and Ortho-Spine Medical Center LLC
• Urooj Iqbal
• Isaacs Pharmacy (Faithful pharmacy)
• Isaacs Pharmacy (Faithful pharmacy ltc)
• Jose Isidro, MD
• Sylvanna Islas

• Clinical Social Worker in Edison, NJ
• Providers in Edison, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.