Augustine, Nello

Augustine, Nello is an individual health care provider with primary practice located at 110 S Pennsylvania Ave , Wilkes Barre PA 18701-3301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Augustine, Nello can be contacted via phone (570) 552-6148.

Contact Information

Primary practice address
110 S Pennsylvania Ave Wilkes Barre PA 18701-3301
Phone: (570) 552-6148
Fax: (570) 552-6021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW001158L Pennsylvania

Profile Details

NPI number 1487710265
LBN Legal business name Augustine, Nello
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487710265 NPPES
Pennsylvania Other 186133 MHN
Pennsylvania MEDICAID 1023799 MHN
Pennsylvania Other 1023799 MHN
Pennsylvania Other 462529 MHN

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