Active NPIIndividual providerSole proprietor

Donald C D'Agostino, LICSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1700012382
Practice location
49 Robinwood Ave, Jamaica Plain, MA 02130-2156
Fax
617-390-1595
Last updated
June 9, 2009

Donald C D'Agostino is a Social Worker, Clinical based in Jamaica Plain, MA. Donald C D'Agostino practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Donald C D'Agostino is 1700012382 and holds a License No. 100614 (MA). The current practice location address for Donald C D'Agostino is 49 Robinwood Ave, Jamaica Plain, MA 02130-2156 and can be reached out via phone at 617-390-1362 and via fax at 617-390-1595.

Provider Profile Details

NPI Number
1700012382
Provider Name
Donald C D'Agostino
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
49 Robinwood Ave, Jamaica Plain, MA 02130-2156
Phone Number
617-390-1362
Fax Number
617-390-1595
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 9, 2009
Last Update Date
June 9, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Robinwood Ave
Jamaica Plain, MA 02130-2156
Zip
02130-2156
Phone Number
617-390-1362
Fax Number
617-390-1595
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
49 Robinwood Ave
Jamaica Plain, MA 02130-2156
City
Jamaica Plain
State
MA
Zip
02130-2156
Phone Number
617-390-1362
Fax Number
617-390-1595

License Information

License Number
100614
License State
MA
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 Donald C D'Agostino, LICSW?

The NPI number of Donald C D'Agostino, LICSW is 1700012382. It was assigned on June 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Donald C D'Agostino, LICSW?

Donald C D'Agostino, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 100614.

Where does Donald C D'Agostino, LICSW practice?

The practice location is 49 Robinwood Ave, Jamaica Plain, MA 02130-2156. The office can be reached at 617-390-1362 (phone) or 617-390-1595 (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 1700012382 directly on the NPPES registry website.

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