Della Agbavon, LICSW is a
Social Worker - Clinical based in Tacoma, Washington. Della Agbavon is licensed to practice in Washington (license number LW60944792) and her current practice location is
401 Broadway Ste 100, Tacoma, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 880-1359.
NPI number for Della Agbavon is 1437746930 and her current mailing address is 3800a Bridgeport Way W Ste 244, University Place, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437746930.
Healthcare Provider's Profile
| Full Name | Della Agbavon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 401 Broadway Ste 100, Tacoma, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437746930
- Provider Enumeration Date: 12/30/2020
- Last Update Date: 03/18/2021
Medical Identifiers
Medical identifiers for Della Agbavon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437746930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LW60944792 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60944792 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Della Agbavon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Della Agbavon, LICSW
3800a Bridgeport Way W Ste 244,
University Place, WA 98466-4416
Ph: () - | Della Agbavon, LICSW
401 Broadway Ste 100,
Tacoma, WA 98402-3900
Ph: (206) 880-1359 |
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