Adrian Anthony Agosta, LCSW

Individual provider Active NPI Clinical Social Worker · Baton Rouge, LA

NPI 1508089293 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508089293
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
4312 (LA)
Practice address
7656 Jefferson Hwy
Suite 1a
Baton Rouge, LA 70809-1101
Phone
(225) 927-2455
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7916 Wrenwood Blvd
Suite C
Baton Rouge, LA 70809-1782
Phone (225) 978-4036

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070619000559 LA Practitioner - Clinical Social Worker 7719086594 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4312LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian a. Agosta, LCSW, LLC Clinical Current
since Apr 21, 2016
Accepting new patients
Family Therapy Clinic of Louisiana, LLC Clinical Past
since Oct 24, 2021
Accepting new patients

Locations

9229 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 215-7498

7916 Wrenwood Blvd
Ste C
Baton Rouge, LA 70809
Phone (225) 302-5092

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4312 LA Yes

Addresses

Primary practice location

7656 Jefferson Hwy
Suite 1a
Baton Rouge, LA 70809-1101

Mailing address

7940 Wrenwood Blvd Apt G
Baton Rouge, LA 70809-1766
Phone (225) 923-1817

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.