Jacqueline Agusta, MSW, LCSW, LCAS is a
Social Worker - Clinical based in Raleigh, North Carolina. Jacqueline Agusta is licensed to practice in North Carolina (license number C014155) and her current practice location is
3012 Falstaff Rd, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 740-8601.
NPI number for Jacqueline Agusta is 1073170726 and her current mailing address is 127 S Atley Ln, Cary, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073170726.
Healthcare Provider's Profile
Full Name | Jacqueline Agusta |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 3012 Falstaff Rd, Raleigh, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073170726
- Provider Enumeration Date: 05/28/2019
- Last Update Date: 12/20/2022
Medical Identifiers
Medical identifiers for Jacqueline Agusta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073170726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25813 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C014155 (North Carolina) | 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. Jacqueline Agusta 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 |
Jacqueline Agusta, MSW, LCSW, LCAS 127 S Atley Ln, Cary, NC 27513-4136 Ph: () - | Jacqueline Agusta, MSW, LCSW, LCAS 3012 Falstaff Rd, Raleigh, NC 27610-1813 Ph: (919) 740-8601 |
Reviews and Comments