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Organization

BARBARA NAGEL, LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA WHITNEY NAGEL LCSW (OWNER)
(610) 541-0630
Entity
Organization

Contact information

Practice address
205 N MONROE ST, MEDIA, PA 19063-3052
(610) 541-0630
(610) 541-0630
Mailing address
49 AMHERST AVE, SWARTHMORE, PA 19081-1613
(610) 541-0630
(610) 541-0630

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
CW012270
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101008768 0001
PA
01
2112771000
INDEPENDENCE BLUE CROSS
01
276060000
MAGELLAN
PA
01
398267
MHN/TRICARE
01
7968378
AETNA
PA
Enumeration date
12/07/2009
Last updated
12/07/2009
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