| Dominick Agosti, LCSW | |
|
201 Roosevelt Ave, Selinsgrove, PA 17870-7969 | |
| (570) 374-0151 | |
| Not Available |
| Full Name | Dominick Agosti |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 201 Roosevelt Ave, Selinsgrove, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437765435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW020553 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominick Agosti, LCSW 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dominick Agosti, LCSW 201 Roosevelt Ave, Selinsgrove, PA 17870-7969 Ph: (570) 374-0151 |
Thomas Butts, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1372 N Susquehanna Trl, Suite 330, Selinsgrove, PA 17870 Phone: 570-743-2323 | |
Dr. Anthony Gene Butto, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1372 N Susquehanna Trl, Suite 330, Selinsgrove, PA 17870 Phone: 570-743-2323 Fax: 570-743-2343 | |
Mrs. Tara Lynn Dively, M.A., LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 N Market St, Selinsgrove, PA 17870 Phone: 717-221-8004 Fax: 717-221-8006 | |
Ellie Herman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 S Market St Ste 4, Selinsgrove, PA 17870 Phone: 272-231-5452 | |
Ms. Leanne Gover Iii, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1372 N. Susquehanna Trl, Suite 330, Selinsgrove, PA 17870 Phone: 570-743-2323 Fax: 570-743-2343 |