Active NPIIndividual providerSole proprietor

Diane L D'Agostino, LCSW

Social Worker, Clinical in Burlington, New Jersey

NPI Number1265095913
Practice location
651 High St, Burlington, NJ 08016-2737
Fax
609-386-4372
Last updated
December 11, 2019

Diane L D'Agostino is a Social Worker, Clinical based in Burlington, NJ. Diane L D'Agostino practices in Burlington, NJ and has the professional credentials of LCSW. The NPI Number for Diane L D'Agostino is 1265095913 and holds a License No. 44SC05599200 (NJ). The current practice location address for Diane L D'Agostino is 651 High St, Burlington, NJ 08016-2737 and can be reached out via phone at 609-386-0775 and via fax at 609-386-4372.

Provider Profile Details

NPI Number
1265095913
Provider Name
Diane L D'Agostino
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
651 High St, Burlington, NJ 08016-2737
Phone Number
609-386-0775
Fax Number
609-386-4372
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 18, 2019
Last Update Date
December 11, 2019
Certification Date
December 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
651 High St
Burlington, NJ 08016-2737
Zip
08016-2737
Phone Number
609-386-0775
Fax Number
609-386-4372
Burlington, NJ 08016Get directions →

Provider Business Mailing Address Details

Address
1 N White Horse Pike
Hammonton, NJ 08037-1875
City
Hammonton
State
NJ
Zip
08037-1875
Phone Number
609-567-0200
Fax Number
609-567-1169

License Information

License Number
44SC05599200
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Diane L D'Agostino, LCSW?

The NPI number of Diane L D'Agostino, LCSW is 1265095913. It was assigned on April 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Diane L D'Agostino, LCSW?

Diane L D'Agostino, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05599200.

Where does Diane L D'Agostino, LCSW practice?

The practice location is 651 High St, Burlington, NJ 08016-2737. The office can be reached at 609-386-0775 (phone) or 609-386-4372 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265095913 directly on the NPPES registry website.

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