Nicole Agani
Individual provider Active NPI Clinical Social Worker · Youngstown, OH
NPI 1962860353 · NPPES record last updated Nov 9, 2018
Key facts
- NPI
- 1962860353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- S 1450731 (OH)
- Practice address
- 1325 5TH Ave FL 2
Youngstown, OH 44504-1702 - Phone
- (330) 743-1015
- NPI assigned
- Feb 1, 2016
- 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 |
|---|---|---|---|
| S 1450731 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S 1450731 | OH | Yes |
Addresses
Primary practice location
1325 5TH Ave FL 2
Youngstown, OH 44504-1702
Mailing address
2709 Hoffman Cir NE
Warren, OH 44483-3007
Phone (330) 883-4214
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2018. 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.