Michelle Agostini, MSW, LSW
Individual provider Active NPI Clinical Social Worker · Philadelphia, PA
NPI 1487985990 · NPPES record last updated Jan 22, 2010
Key facts
- NPI
- 1487985990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW127610 (PA)
- Practice address
- 21 S 12TH St
Philadelphia, PA 19107-3614 - Phone
- (215) 732-2437
- NPI assigned
- Jan 22, 2010
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW127610 | PA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW127610 | PA | Yes |
Addresses
Primary practice location
21 S 12TH St
Philadelphia, PA 19107-3614
Mailing address
813 S 49TH St
1R
Philadelphia, PA 19143-3401
Phone (267) 471-6861
Other providers in Philadelphia, PA
- Zoe Agoos
- Yasmeen Mele Agosti
- Colby C Agostinelli
- Lindsay Agostinelli
- Andrew Martin Agostini
- David Agosto
- Omar Agosto
- Natalie Agramonte
- Anita Agrawal
- Durgesh Kumar Agrawal
All providers in Philadelphia, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 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.