| Adrian A. Agosta, Lcsw, Llc | |
|
9229 Bluebonnet Blvd Baton Rouge LA 70810-2808 | |
| (225) 769-7575 | |
| (225) 923-1817 |
| Full Name | Adrian A. Agosta, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9229 Bluebonnet Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Adrian A Agosta (CLINICIAN) |
| Authorized Official Contact | 2257697575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian A. Agosta, Lcsw, Llc 7940 Wrenwood Blvd Apt G Baton Rouge LA 70809-1766 Ph: (225) 769-7575 | Adrian A. Agosta, Lcsw, Llc 9229 Bluebonnet Blvd Baton Rouge LA 70810-2808 Ph: (225) 769-7575 |
| NPI Number | 1538301502 |
|---|---|
| Provider Enumeration Date | 04/06/2009 |
| Last Update Date | 04/06/2009 |
| Medicare PECOS PAC ID | 9234420639 |
|---|---|
| Medicare Enrollment ID | O20160615000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538301502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adrian A Agosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508089293 PECOS PAC ID: 7719086594 Enrollment ID: I20070619000559 |
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