Organization Active NPI

Agewise de LLC

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1720945785
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AGEWISE DE LLC
Practice address
2313 Concord Pike
Wilmington, DE 19803-2911
Phone
(912) 266-0289
NPI assigned
Jan 9, 2026
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Laura Dickol, LCSWNPI 1720804545
Title
Clinical Social Worker
Phone
(912) 266-0289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2313 Concord Pike
Wilmington, DE 19803-2911

Mailing address

1817 N Lincoln St
Wilmington, DE 19806-2311

National Provider Directory

National Provider Directory

Locations

2313 Concord Pike
Wilmington, DE 19803
Phone (302) 540-8737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1720945785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N LINCOLN ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032911",
            "telephone_number": "912-266-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWISE DE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "DICKOL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "912-266-0289",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.