Jessica Agricola
Individual provider Active NPI Clinical Social Worker · Placerville, CA
NPI 1689937542 · NPPES record last updated Jun 15, 2012
Key facts
- NPI
- 1689937542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 670 Placerville Dr
#1B
Placerville, CA 95667-4200 - Phone
- (530) 621-6344
- NPI assigned
- Jun 15, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
670 Placerville Dr
#1B
Placerville, CA 95667-4200
Mailing address
670 Placerville Dr
#1B
Placerville, CA 95667-4200
Phone (530) 621-6344
Other providers in Placerville, CA
- Lori Adams
- Tammy Lee Addison
- Advanced Physical Therapy
- Aegis Treatment Centers, LLC
- Johnfred Aglupos
- Antonella Aguilera-Ruiz
- Patrizia Ahlers
- Shana Aidnik
- Crista Jane Aivaliotis I
- Ketan P Ajudia
All providers in Placerville, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2012. 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.