Ariel Agmon, MA, MSW

Individual provider Active NPI Social Worker · Lakewood, CO

NPI 1689079014 · NPPES record last updated Oct 28, 2014

Key facts

NPI
1689079014
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
9485 W Colfax Ave
Lakewood, CO 80215-3918
Phone
(303) 425-0300
Fax
(303) 432-5495
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Atoka Dr
Winchester, VA 22602-6804

2911 S Woodstock St Apt D
Arlington, VA 22206-4001

500 Westover Dr
Sanford, NC 27330-8941

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Insight LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

9485 W Colfax Ave
Lakewood, CO 80215-3918

Mailing address

4851 Independence St
Suite 200
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300

Other providers in Lakewood, CO

All providers in Lakewood, CO · Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.