National Provider Identifier
Jason Anthony Agnello, LMSW
Jason Anthony Agnello, LMSW is listed in the NPPES registry with a primary specialty of Counselor in Hamburg, NY and a listed phone number of (716) 980-1885.
Profile Overview
- NPI
- 1407514078
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- December 01, 2021
- Last Updated
- October 31, 2022
Practice Location
- 4535 Southwestern Blvd Ste 807
- Hamburg, NY 14075-1860
Phone: (716) 980-1885
Mailing Address
- 213 Kirby Ave
- Lackawanna, NY 14218-3155
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1407514078
- Entity Type
- Individual
- Last Name
- Agnello
- First Name
- Jason
- Middle Name
- Anthony
- Credential
- LMSW
- Mailing Street Address
- 213 Kirby Ave
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-3155
- Mailing Country
- US
- Mailing Phone
- (716) 997-1001
- Practice Street Address
- 4535 Southwestern Blvd Ste 807
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-1860
- Practice Country
- US
- Practice Phone
- (716) 980-1885
- Enumeration Date
- December 01, 2021
- Last Updated
- October 31, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 31, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)